DR. JAZZMIN TONAI HICKS-BONAM PSY.D.
NPI 1861098725
Psychologist - Clinical in Torrance, CA

Q: What is Jazzmin Hicks-bonam's NPI number?

The NPI number for Jazzmin Hicks-bonam is 1861098725. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Q: What is Jazzmin Hicks-bonam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 07, 2020PECOS Enrolled

21515 HAWTHORNE BLVD STE 200, TORRANCE, CA 90503(661) 234-6001(661) 459-5076 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jazzmin Tonai Hicks-bonam Psy.d. NPPES

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

DR. JAZZMIN TONAI HICKS-BONAM PSY.D. (NPI 1861098725) is an individual clinical provider in Torrance, California, licensed in California (32243) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861098725

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAZZMIN TONAI HICKS-BONAMCredential: PSY.D.

Location Address21515 HAWTHORNE BLVD STE 200Torrance, CA 90503-6512

Mailing Address21515 Hawthorne Blvd Ste 200Torrance, CA 90503-6512 · (661) 234-6001 · Fax (661) 459-5076

Phone(661) 234-6001

Fax(661) 459-5076

Sole ProprietorYes

Enumeration DateDecember 7, 2020

Last NPPES UpdateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1861098725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 32243

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

21515 HAWTHORNE BLVD STE 200, Torrance, CA 90503

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Other Identifiers 1

Other32243CA · Board Of Psychology

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jazzmin Tonai Hicks-bonam Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

DR. YASHA RASTGAR MD

Psychiatry & Neurology (Psychiatry)