NPIMap

Organization Active NPI

Bonita House Inc

  • Community/Behavioral Health Agency
  • San Leandro, CA
National Provider Identifier
1912618794
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BONITA HOUSE INC
Practice address
13939 E 14TH St Ste 190
San Leandro, CA 94578-2601
Phone
(510) 899-7445
Fax
(510) 647-9408
NPI assigned
Dec 12, 2022
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BONITA HOUSE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Laura Evon Weissberger, LCSWNPI 1184027229
Title
Executive Director
Phone
(510) 593-1950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

13939 E 14TH St Ste 190
San Leandro, CA 94578-2601

Mailing address

1919 Addison St Ste 204
Berkeley, CA 94704-1143
Phone (510) 899-7445

National Provider Directory

National Provider Directory
Tax ID family
Bonita House Inc9 organizations share this tax ID, including this one
Part of
Bonita House Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1912618794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ADDISON ST STE 204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041143",
            "telephone_number": "510-899-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 190",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-899-7445",
            "fax_number": "510-647-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA HOUSE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONITA HOUSE INC",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "WEISSBERGER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "EVON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-593-1950",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.