Jose Alberto Bonilla Padilla, LMFT 164694

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

164694 Issued in CA

Practice address

3972 N Waterman Ave Ste 104
San Bernardino, CA 92404-1767

Phone

(909) 433-9700

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jose Alberto Bonilla Padilla Professional name

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 and National Provider Directory roles.

• Blessing Community Health Center

  • Public Health & General Preventive Medicine Physician
  • San Bernardino, CA
  • NPI 1558981381
  NPD (past)
• Blessing Community Health Center

  • Case Manager/Care Coordinator
  • San Bernardino, CA
  • NPI 1689523763
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1104202829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041700",
            "telephone_number": "909-433-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 N WATERMAN AVE STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041767",
            "telephone_number": "909-433-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA PADILLA",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "LMFT 164694",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "BONILLA PADILLA",
            "middle_name": "ALBERTO",
            "prefix": "MR.",
            "credential": "AMFT138707",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alvaro Bolivar, M.D.
• David Alfonso Bolivar, M.D.
• Eunice Bolivar, M.D.
• Samuel Antonio Bolivar, MD
• Rebecca Bonat, PTA
• Jennifer Cindy Bonilla-Lopez
• Adan Bonilla
• Daniel Michael Bonilla
• Kandas Crystal Bonilla, M.S, M.A
• Euna Elizabeth Bonovich

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.