Active NPI
Bonnie Bayya, FNP-BC
- Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95012366
- Practice address
- 1333 Chestnut Ave
Long Beach, CA 90813-2944 - Phone
- (310) 753-2300
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95012366 | CA | Primary |
Addresses
Primary practice location
1333 Chestnut Ave
Long Beach, CA 90813-2944
Mailing address
1333 Chestnut Ave
Long Beach, CA 90813-2944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210222002652 | CA | Practitioner - Nurse Practitioner | 9032524251 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Los Angeles
Practice addresses (Care Compare)
1333 Chestnut Ave
Long Beach, CA 90813-2944
Phone (562) 753-2315
Hospital & facility affiliations
- Lac/Harbor-UCLA Med Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012366 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244
123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325
1333 Chestnut Ave
Long Beach, CA 90813
Phone (562) 599-8601
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134143415
-
- General Acute Care Hospital
- Downey, CA
- NPI 1336154020
-
- General Acute Care Hospital
- Downey, CA
- NPI 1336156363
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1356350318
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1598773715
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Clinic/Center
- Long Beach, CA
- NPI 1568483766
-
- Clinic/Center
- Glendale, CA
- NPI 1891708079
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1053928259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 CHESTNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 CHESTNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132944",
"telephone_number": "310-753-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYYA",
"first_name": "BONNIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95012366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Bayfront Youth & Family Services
- Bayfront Youth and Family Services
- Bayfront Youth and Family Services
- Bayfront Youth and Family Services - Residential Treatment Program
- Eric Madlansacay Bayla, RPT
- Sharon Bazan, AS, RRT, RPFT.
- BBN Pharmacy Inc
- Rong Be
- Beach Allergy & Asthma Specialty Group
- Beach Cities Eldercare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.