JERALYN E BOLANOS LCSW
NPI 1922586072
Social Worker - Clinical in Cerritos, CA
About Jeralyn E Bolanos Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERALYN E BOLANOS LCSW (NPI 1922586072) is an individual clinical provider in Cerritos, California, licensed in California (LCSW118720) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeralyn E Bolanos Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeralyn Bolanos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redding, CA 96001
- Reassigned Medicare billing, California enrollment
- 80 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CERRITOS, CA 90703
CERRITOS, CA 90703
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 Jeralyn Bolanos's NPI number?
The NPI number for Jeralyn Bolanos is 1922586072. It was assigned to this individual provider in the NPPES registry on July 31, 2018.
Where is Jeralyn Bolanos located?
Jeralyn Bolanos practices at 11050 Artesia Blvd Ste F, Cerritos, CA 90703. The listed phone number is (562) 860-8838.
What is Jeralyn Bolanos's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jeralyn Bolanos enrolled in Medicare?
Yes. Jeralyn Bolanos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeralyn Bolanos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeralyn Bolanos reassigns Medicare benefits to Native American Mental Health Services Corporation (Redding, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeralyn Bolanos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeralyn Bolanos was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jeralyn E Bolanos, LCSW · NPI 1922586072
Clinical provider in Cerritos, California. Individual provider, active in the CMS NPPES registry since July 31, 2018.
## Identity
- **NPI:** 1922586072 (Entity type: Individual)
- **Enumerated:** July 31, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW118720 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11050 ARTESIA BLVD STE F, Cerritos, CA 90703-2542
- **Phone:** (562) 860-8838 · **Fax:** (562) 860-0248
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Native American Mental Health Services Corporation (NPI 1073919171, Redding, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922586072) · Data from the CMS NPPES public registry.