BONITA HOUSE, INC.
NPI 1073728770
Case Management in Oakland, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonita House, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Bonita House, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Bonita House, Inc. enrolled in Medicare?
Yes. Bonita House, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bonita House, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Bonita House, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Clinical Social Worker (2) and Psychiatry (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 3 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.
# Bonita House, Inc. · NPI 1073728770
Case Management organization in Oakland, California. Organization record, active in the CMS NPPES registry since May 14, 2007.
## Identity
- **NPI:** 1073728770 (Entity type: Organization)
- **Enumerated:** May 14, 2007
- **Primary specialty:** Case Management · taxonomy 251B00000X
- **Also known as:** Supported Independent Living (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Laura Weissberger, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1605 JEFFERSON ST, Oakland, CA 94612-1215
- **Phone:** (510) 923-1099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (2), Psychiatry (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2023
- **Other identifiers:** Medicaid 01113 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073728770) · Data from the CMS NPPES public registry.