BONITA HOUSE, INC.
NPI 1073728770
Case Management in Oakland, CA

Active since May 14, 2007CLIA 05D2090913 · Waiver
1605 JEFFERSON ST, OAKLAND, CA 94612(510) 923-1099 Get Directions Write a Review

NPPES record last updated: August 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2024, Sep 12, 2024, Aug 26, 2023 and 1 more (4 updates tracked since 2023).

About Bonita House, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONITA HOUSE, INC. (NPI 1073728770), doing business as Supported Independent Living, is a healthcare organization registered as a case management in Oakland, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Laura Evon Weissberger, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073728770
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameBONITA HOUSE, INC.
Location Address1605 JEFFERSON STOakland, CA 94612-1215
Mailing Address1919 Addison St Ste 204Berkeley, CA 94704-1143 · (510) 899-7445 · Fax (510) 647-9408
Organization SubpartNo
Authorized OfficialLaura Evon WeissbergerExecutive Director · (105) 931-9505
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 26, 20234 updates tracked since enumeration
NPPES CertifiedAugust 26, 2023
NPI 1073728770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
License Licensed in CA · 01113
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
1605 JEFFERSON ST, Oakland, CA 94612

Other Names 1

Doing Business AsSupported Independent Living

Other Identifiers 1

Medicaid01113CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2090913

Bonita House Inc · Oakland, CA
Active · expires Feb 1, 2027
CLIA Number05D2090913
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorFloyd M. Brown
Laboratory Phone(510) 923-1099
Laboratory LocationBonita House Inc6333 Telegraph Ave Ste 102, Oakland, CA 94609
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1605 JEFFERSON ST
OAKLAND, CA 94612
Social Worker (Clinical)
1605 JEFFERSON ST
OAKLAND, CA 94612
Counselor (Mental Health)
1605 JEFFERSON ST
OAKLAND, CA 94612
Nurse Practitioner (Psychiatric/Mental Health)
1605 JEFFERSON ST
OAKLAND, CA 94612
Rehabilitation Practitioner
1605 JEFFERSON ST
OAKLAND, CA 94612
Social Worker (Clinical)
1605 JEFFERSON ST
OAKLAND, CA 94612
Nurse Practitioner (Psychiatric/Mental Health)
1605 JEFFERSON ST
OAKLAND, CA 94612
Student in an Organized Health Care Education/Training Program
1605 JEFFERSON ST
OAKLAND, CA 94612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonita House, Inc.'s NPI number?

The NPI number for Bonita House, Inc. is 1073728770. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is doing business as Supported Independent Living.

Where is Bonita House, Inc. located?

Bonita House, Inc. is located at 1605 Jefferson St, Oakland, CA 94612. The listed phone number is (510) 923-1099.

What is Bonita House, Inc.'s specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Bonita House, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2090913) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bonita House, Inc. was last updated on August 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.