Bonnie Sue Payne

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7533 Issued in CA

Practice address

29811 Santa Margarita Pkwy Ste 600
Rancho Santa Margarita, CA 92688-3617

Phone

(949) 600-5437

NPI assigned

Jun 25, 2021

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Hailey Mayz Foundation

  • Speech-Language Pathologist
  • Ranch Santa Margarita, CA
  • NPI 1023309390
  NPD (past)
• United Cerebral Palsy of Orange County

  • Voluntary or Charitable Agency
  • Santa Ana, CA
  • NPI 1043458771

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1699345405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 DARKWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925066519",
            "telephone_number": "951-203-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29811 SANTA MARGARITA PKWY STE 600",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883617",
            "telephone_number": "949-600-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP7533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Y Park, O.D.
• Anika Rajesh Patel, PHARMD
• Deepak Patel, MD
• Pankaj Patel, R.PH
• Paul a Day DDS a Professional Dental Corporation
• Peak Potential Physical Therapy
• Melissa Pearson, RDN
• Devallee Pedrogo, PTA
• Penrod Dental Care, Inc.
• Periodontics, Oral and Facial Surgical Specialties

• Speech-Language Pathologist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Jun 25, 2021; 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.