Angelica Victoria Bon, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW71706 Issued in CA

Practice address

17542 17TH St
Tustin, CA 92780-1959

Phone

(714) 734-4500

NPI assigned

Nov 30, 2010

Last updated

Nov 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Anaheim Home Health AG.

  • Home Health Agency
  • Tustin, CA
  • NPI 1588719579
  NPD (past)
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Ambulatory Surgery Center, Antelope Valley

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
  • NPI 1851169965
  NPD (past)
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital - Anaheim Hospice

  • Community Based Hospice Care Agency
  • Tustin, CA
  • NPI 1962724856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1083916860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17542 17TH ST STE 300",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801960",
            "telephone_number": "714-734-4500",
            "fax_number": "714-680-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17542 17TH ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801959",
            "telephone_number": "714-734-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BON",
        "first_name": "ANGELICA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW71706",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "28821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "carequality",
            "affiliationName": "KAISER PERMANENTE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "17542 17th St",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927801959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Boggan Zierhut, M.A. CCC-SLP
• Catherine Bogues, CCC-SLP
• Alejandra Maria Bolivar
• Linda Bolivar
• Mohini Bolkhovitinov, LCSW
• Ryleh Morgan Bones
• Eva Boni
• Debra Anne Bonnefin, DC
• Heather Kristina Bonnville, PHYSICIAN ASSISTANT
• Stephanie Boone, LMFT

• Mental Health Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.