CONRAD BONILLA (NPI# 1235764630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235764630 |
| Entity Type | Individual |
| Full Name | CONRAD BONILLA |
| Credential | RN |
| Practice Address |
1775 Chestnut Ave Long Beach CA 90813-1674 |
| Practice Telephone | 5625998444 |
| Mailing Telephone | 5625998444 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 95206856 | CA | Nursing Service Providers |
| Street Address |
1775 CHESTNUT AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083752125 | Chantell Cuaron | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813 | 2007-02-01 |
| 1144821935 | Edgar Isidoro | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-11-06 |
| 1881291292 | Nataliya Polyanchykova | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-10-08 |
| 1982225348 | Destiny Deja Pitts | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-04-27 |
| 1689207953 | Benjamin Josiah Dosch | Social Worker | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-02-14 |
| 1831729169 | Karen Lynn Baugh | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-01-26 |
| 1144869645 | Cynthia Yvette Ross | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-31 |
| 1164061800 | Tana Queen | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-28 |
| 1871130963 | Carolina Martinez | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-08 |
| 1306481130 | Delaina Ann Luckett | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834334 | Steven Sollie | Registered Nurse | 418 E Hullett St, Long Beach, CA 90805-3426 | 2020-09-04 |
| 1235742446 | Michelle Brock | Registered Nurse | 4508 Atlantic Ave Ste A-443, Long Beach, CA 90807-1520 | 2020-08-26 |
| 1790395721 | Antonio Orellana | Registered Nurse | 106 La Verne Ave, Long Beach, CA 90803-3335 | 2020-08-04 |
| 1154949477 | Veronica Elizabeth Almeida | Registered Nurse | 245 W Broadway Apt 625, Long Beach, CA 90802-5049 | 2020-07-13 |
| 1518593128 | Elizabeth Yvonne Shouse | Registered Nurse | 3801 E Pacific Coast Hwy Apt 231, Long Beach, CA 90804-2041 | 2020-03-14 |
| 1750912432 | Kristopher Gavino | Registered Nurse | 3530 Magnolia Ave, Long Beach, CA 90806-1173 | 2020-01-30 |
| 1043854326 | Kathleen Ann Sweeney | Registered Nurse | 17 Indiana Ave, Long Beach, NY 11561-1205 | 2019-10-30 |
| 1174177232 | Christine Phuma | Registered Nurse | 4937 Daisy Ave, Long Beach, CA 90805-6711 | 2019-07-27 |
| 1407326119 | Anthony J Gann | Registered Nurse | 173 Santa Ana Ave, Long Beach, CA 90803-3461 | 2018-11-26 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on CONRAD BONILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.