Bonnie J Polson, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3913 Issued in CA

Practice address

1591 Carpentier St
San Leandro, CA 94577-4470

Phone

(559) 307-5606

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1598412488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 CARPENTIER ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774470",
            "telephone_number": "559-307-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 CARPENTIER ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774470",
            "telephone_number": "559-307-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "BONNIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Thomas Ploch
• Danielle Plowman
• Jade Daja Poe
• Nancy Polio
• John F. Polito, M.D.
• Eugene V Polyak, RCP
• Jessica Ponce
• Josefina Ponce
• Marianah Marie Ponce
• Calcutta Poole

• Speech-Language Pathologist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.