Indianna McKenna Bouch

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

21101 Dale Evans Pkwy
Apple Valley, CA 92307-9356

Phone

(909) 387-5874

NPI assigned

Nov 1, 2022

Last updated

Aug 28, 2025By the provider in NPPES

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

Practice roles

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

• Children's Hospital of Orange County

  dba CYS CHOC Project HEALTH FSP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, CA
  • NPI 1780173583
  NPD (past)

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1831806603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S SUNWEST LN STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21101 DALE EVANS PKWY",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923079356",
            "telephone_number": "909-387-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCH",
        "first_name": "INDIANNA",
        "middle_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila M Bonner
• Brittany Renee Borchard
• Leann Lee Borek-Robinson
• Carmen Borrero Edgmon
• Kristie Lynn Bott, LCSW
• Danielle Riane Brasher, PA-C
• Natalie Renee Brasher, MA, INTERN MFT
• Evelyn Brashers, CMT
• Jaimee Renee Bravo, PTA
• Cindy Ellen Bray

• Social Worker in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.