Bonita Diane Zisla, M.A. L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC14434 Issued in CA

Practice address

2280 Sunset Dr
Suite B1
Los Osos, CA 93402-4007

Phone

(805) 528-7084

NPI assigned

Jun 14, 2007

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

Other names 1

• Ms. Bonita Diane Zisla Crafts Other name

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1598969123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6956",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934126956",
            "telephone_number": "805-528-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 SUNSET DR",
            "address_2": "SUITE B1",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934024007",
            "telephone_number": "805-528-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISLA",
        "first_name": "BONITA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "M.A. L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC14434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONITA",
            "last_name": "ZISLA CRAFTS",
            "middle_name": "DIANE",
            "prefix": "MS.",
            "credential": "M.F.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marriage & Family Therapist in Los Osos, CA
• Providers in Los Osos, 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 Jun 13, 2011; 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.