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

NPI Status: Active since June 17, 2025

Contact Information

590 W 8TH ST
SAN PEDRO, CA
ZIP 90731
Phone: (310) 831-2358

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  • Individual
  • Female
  • Peer Specialist

About TERESA BONILLA

This page provides the complete NPI Profile along with additional information for Teresa Bonilla, a provider established in San Pedro, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1700772498 assigned on June 2025. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-WTVSYE (CA). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1700772498
Provider Name
TERESA BONILLA SUPPORT SPECIALIST
Gender
Female
Entity Type
Individual
Location Address
590 W 8TH ST SAN PEDRO, CA 90731
Location Phone
(310) 831-2358
Mailing Address
590 W 8TH ST SAN PEDRO, CA 90731
Mailing Phone
(310) 831-2358
Is Sole Proprietor?
Yes
Enumeration Date
06-17-2025
Last Update Date
06-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
MPSS-WTVSYE
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700772498, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 1 + 4 + 7 + 4 + 4 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1700772498.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Community/Behavioral Health
590 W 8TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Case Management
590 W 8TH ST
SAN PEDRO, CA 90731
Counselor (Professional)
590 W 8TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
590 W 8TH ST
SAN PEDRO, CA 90731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700772498, enumerated as an "individual" on June 17, 2025.

The provider is located at 590 W 8TH ST SAN PEDRO, CA 90731 and the phone number is (310) 831-2358.

Peer Specialist with taxonomy code 175T00000X.