Individual provider Active NPI

Jenny Genoveva Bonilla, MSW, LCSW

  • Clinical Social Worker
  • Oxnard, CA
National Provider Identifier
1952168676
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125244 Issued in CA
Practice address
1911 Williams Dr Ste 110
Oxnard, CA 93036-2665
Phone
(805) 981-4200
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 125244 CA Primary

Addresses

Primary practice location

1911 Williams Dr Ste 110
Oxnard, CA 93036-2665

Mailing address

PO Box 1144
Fillmore, CA 93016-1144
Phone (805) 921-5608

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
I20260501001529 CA Practitioner - Clinical Social Worker 2466920087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

1911 Williams Dr
Oxnard, CA 93036-2612

300 Hillmont Ave
Ventura, CA 93003-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125244CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Mar 3, 2024 Accepting new patients
County of Ventura PastSince Mar 3, 2024 Accepting new patients

Locations

1911 Williams Dr
Ste 110
Oxnard, CA 93036
Phone (805) 981-4200

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1952168676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930161144",
            "telephone_number": "805-921-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362665",
            "telephone_number": "805-981-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "JENNY",
        "middle_name": "GENOVEVA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.