Mayra Bosch

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CS0720716 Issued in CA

Practice address

23950 Prado LN
Colton, CA 92324-9734

Phone

(909) 514-1958

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

No

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.

• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1740569235
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1821548835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23950 PRADO LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249734",
            "telephone_number": "909-514-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "MAYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CS0720716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilinda Lizeth Bonilla
• Titisha Booker
• Caroline Boorman, DO
• Rodney William Borger, M.D
• Scott Ryan Borrelli, PA-C
• Emad Botros
• Botrosons Pharmaceutical Inc
• Zayne Edward Boudreauxramirez
• Katherine Elizabeth Bourbeau-Medinilla, MD
• Nina Nicole Bowman, D.O.

• All providers in Colton, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.