Active NPI
Debra Bonner
- Counselor
- Sacramento, CA
National Provider Identifier
1265822753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3870 Rosin CT
Suite 130
Sacramento, CA 95834-1620 - Phone
- (916) 369-7872
- Fax
- (916) 923-2813
- NPI assigned
- Feb 4, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3870 Rosin CT
Suite 130
Sacramento, CA 95834-1620
Mailing address
3870 Rosin CT
Suite 130
Sacramento, CA 95834-1620
Phone (916) 369-7872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | CA | MHA I, II, III |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1265822753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 ROSIN CT",
"address_2": "SUITE 130",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341620",
"telephone_number": "916-369-7872",
"fax_number": "916-923-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 ROSIN CT",
"address_2": "SUITE 130",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341620",
"telephone_number": "916-369-7872",
"fax_number": "916-923-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHA I, II, III",
"identifier": "171M00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.