Rebecca Rose Bonneville, NURSE PRACTITIONER is a
Nurse Practitioner - Psychiatric/mental Health based in Woodland Hills, California. Rebecca Rose Bonneville is licensed to practice in California (license number 95010667) and her current practice location is
22704 Ventura Blvd Unit 115, Woodland Hills, California. She can be reached at her office (for appointments etc.) via phone at
(323) 900-5091.
NPI number for Rebecca Rose Bonneville is 1821424375 and her current mailing address is 22704 Ventura Blvd Unit 115, Woodland Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821424375.
Healthcare Provider's Profile
| Full Name | Rebecca Rose Bonneville |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 22704 Ventura Blvd Unit 115, Woodland Hills, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821424375
- Provider Enumeration Date: 09/16/2013
- Last Update Date: 03/18/2026
Medical Identifiers
Medical identifiers for Rebecca Rose Bonneville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821424375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95010667 (California) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 22278 (Tennessee) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca Rose Bonneville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Rebecca Rose Bonneville, NURSE PRACTITIONER 22704 Ventura Blvd Unit 115, Woodland Hills, CA 91364-1333 Ph: (323) 900-5091 | Rebecca Rose Bonneville, NURSE PRACTITIONER 22704 Ventura Blvd Unit 115, Woodland Hills, CA 91364-1333 Ph: (323) 900-5091 |
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