Individual provider Active NPI

Bonnie Elaine Riley Oconnell, CPSS

  • Peer Specialist
  • Hemet, CA
National Provider Identifier
1316635022
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-JYHGUQ Issued in CA
Practice address
950 N State St Ste E
Hemet, CA 92543-1485
Phone
(951) 654-2026
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-JYHGUQ CA Primary

Addresses

Primary practice location

950 N State St Ste E
Hemet, CA 92543-1485

Mailing address

25967 Yale St
Hemet, CA 92544-4877
Phone (951) 581-6723

Other practice location 1

2220 Girard St
San Jacinto, CA 92583-5301
Phone (951) 581-6723

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

State licenses

LicenseStateTypeSpecialty
MPSS-JYHGUQCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1316635022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25967 YALE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444877",
            "telephone_number": "951-581-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N STATE ST STE E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431485",
            "telephone_number": "951-654-2026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Girard St",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925835301",
            "country_code": "US",
            "telephone_number": "951-581-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY OCONNELL",
        "first_name": "BONNIE",
        "middle_name": "ELAINE",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-JYHGUQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.