Individual provider Active NPI

Bonnie Jean Campbell, LCSW

  • Clinical Social Worker
  • El Monte, CA
National Provider Identifier
1891964342
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23942 Issued in CA
Practice address
11001 E. V Alley Mall
Suite 300
El Monte, CA 91731
Phone
(626) 442-0710
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS23942 CA Primary

Addresses

Primary practice location

11001 E. V Alley Mall
Suite 300
El Monte, CA 91731

Mailing address

1361 S Rimhurst Ave
Glendora, CA 91740-5167
Phone (626) 862-6706

Other identifiers 1

IdentifierTypeStateIssuer
ICAN797OtherCALOS ANGELES COUNTY DMH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812000799 CA Practitioner - Clinical Social Worker 9739583758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS23942CAMDClinical Social Worker
23942CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Community Health Systems, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. Past Accepting new patients

Locations

18601 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

22675 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bonnie.cambell.p1@direct.chsica.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1891964342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 S RIMHURST AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405167",
            "telephone_number": "626-862-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 E. V ALLEY MALL",
            "address_2": "SUITE 300",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-442-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ANGELES COUNTY DMH",
            "identifier": "ICAN797",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.