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TERESA BONILLA SUPPORT SPECIALIST
NPI 1700772498
Peer Specialist in San Pedro, CA

Active since June 17, 2025
590 W 8TH ST, SAN PEDRO, CA 90731(310) 831-2358 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teresa Bonilla Support Specialist NPPES

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

TERESA BONILLA SUPPORT SPECIALIST (NPI 1700772498) is an individual peer specialist in San Pedro, California, licensed in California (MPSS-WTVSYE) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1700772498
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTERESA BONILLACredential: SUPPORT SPECIALIST
Location Address590 W 8TH STSan Pedro, CA 90731-3120
Mailing Address590 W 8th StSan Pedro, CA 90731-3120 · (310) 831-2358
Phone(310) 831-2358
Sole ProprietorYes
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1700772498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-WTVSYE
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

590 W 8TH ST, San Pedro, CA 90731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
STEPHANIE BONILLA
Counselor (Addiction (Substance Use Disorder))
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 Teresa Bonilla's NPI number?

The NPI number for Teresa Bonilla is 1700772498. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Teresa Bonilla located?

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

What is Teresa Bonilla's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Teresa Bonilla was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.