Organization Active NPI

Bonita Therapy and Consulting Inc

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1922574979
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BONITA THERAPY AND CONSULTING INC
Practice address
3065 Beyer Blvd Ste B-103
San Diego, CA 92154-3499
Phone
(619) 271-7748
Fax
(619) 271-7982
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Carmen R Cuevas
Title
Co-Owner
Phone
(619) 876-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3065 Beyer Blvd Ste B-103
San Diego, CA 92154-3499

Mailing address

3065 Beyer Blvd Ste B-103
San Diego, CA 92154-3499
Phone (619) 271-7748

Other identifiers 2

IdentifierTypeStateIssuer
1275653966OtherCALUIS CONTRERAS, LCSW
11891084695OtherCAERIK SANCHEZ, LCSW

National Provider Directory

National Provider Directory

Locations

3065 Beyer Blvd
Ste B103
San Diego, CA 92154
Phone (619) 271-7748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1922574979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 BEYER BLVD STE B-103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543499",
            "telephone_number": "619-271-7748",
            "fax_number": "619-271-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 BEYER BLVD STE B-103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543499",
            "telephone_number": "619-271-7748",
            "fax_number": "619-271-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA THERAPY AND CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "619-876-8850"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUIS CONTRERAS, LCSW",
            "identifier": "1275653966",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ERIK SANCHEZ, LCSW",
            "identifier": "11891084695",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.