Individual provider Active NPI

Sharon Bonilla, CTRS 82551

  • Recreation Therapist
  • Hawaiian Gardens, CA
National Provider Identifier
1467159343
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
82551 Issued in CA
Practice address
22012 Belshire Ave Unit 6
Hawaiian Gardens, CA 90716-1675
Phone
(909) 552-3080
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 82551 CA Primary

Addresses

Primary practice location

22012 Belshire Ave Unit 6
Hawaiian Gardens, CA 90716-1675

Mailing address

22012 Belshire Ave Unit 6
Hawaiian Gardens, CA 90716-1675
Phone (909) 552-3080

Other names 1

  • Sharon Bonilla Professional name

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
82551CAMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1467159343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22012 BELSHIRE AVE UNIT 6",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161675",
            "telephone_number": "909-552-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22012 BELSHIRE AVE UNIT 6",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161675",
            "telephone_number": "909-552-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "SHARON",
        "credential": "CTRS 82551",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "CA",
            "license": "82551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BONILLA",
            "credential": "CTRS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hawaiian Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.