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STEPHANIE BONILLA
NPI 1316477250
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since June 13, 2017
590 W 8TH ST, SAN PEDRO, CA 90731(310) 831-2358 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2025, Jun 13, 2017 (2 updates tracked since 2017).

About Stephanie Bonilla NPPES

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

STEPHANIE BONILLA (NPI 1316477250) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (7561) and active in the NPI registry since June 2017. She maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1316477250
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE BONILLA
Location Address590 W 8TH STSan Pedro, CA 90731-3120
Mailing Address1318 N Avalon BlvdWilmington, CA 90744-2639 · (310) 549-2710 · Fax (310) 549-2715
Phone(310) 831-2358
Sole ProprietorYes
Enumeration DateJune 13, 2017
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1316477250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 7561
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
590 W 8TH ST, San Pedro, CA 90731
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Secondary Practice Location 1

Location 11318 N Avalon BlvdWilmington, CA 90744-2639 · Phone (310) 549-2710 ext. 3613 · Fax (310) 549-2715

Other Identifiers 1

Medicaid6197-RCA

Other Providers at the Same Location NPPES 6

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

ERICA ALEJANDRA FIGUEROA MA
Counselor (Professional)
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
ALFRED ALEX DEVIN
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
TERESA BONILLA SUPPORT SPECIALIST
Peer Specialist
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
BEHAVIORAL HEALTH SERVICES
Case Management
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
CANDACE CARGILL-FULLER CADC II
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 704-1336

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 Stephanie Bonilla's NPI number?

The NPI number for Stephanie Bonilla is 1316477250. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Stephanie Bonilla located?

Stephanie Bonilla practices at 590 W 8th St, San Pedro, CA 90731. The listed phone number is (310) 831-2358.

What is Stephanie Bonilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stephanie Bonilla was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.