JUSTINE BONILLA
NPI 1871381673
Peer Specialist in San Pedro, CA

Active since April 30, 2025
505 S PACIFIC AVE, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Justine Bonilla NPPES

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

JUSTINE BONILLA (NPI 1871381673) is an individual peer specialist in San Pedro, California, licensed in California (MPSS-ARUTLH) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1871381673
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJUSTINE BONILLA
Location Address505 S PACIFIC AVESan Pedro, CA 90731-2656
Mailing Address936 S Centre StSan Pedro, CA 90731-3737 · (213) 751-3036
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1871381673 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-ARUTLH
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.
505 S PACIFIC AVE, San Pedro, CA 90731

Other Providers at the Same Location NPPES 20

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

Internal Medicine
505 S PACIFIC AVE, SUITE #201
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Peer Specialist
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731

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 Justine Bonilla's NPI number?

The NPI number for Justine Bonilla is 1871381673. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Justine Bonilla located?

Justine Bonilla practices at 505 S Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Justine 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 Justine Bonilla was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.