=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750295580
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEJANDRA PINEDA BONILLA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2026
-----------------------------------------------------
Last Update Date | 09/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 767 E YOSEMITE AVE STE E
-----------------------------------------------------
City | MERCED
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95340-8055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-232-0791
-----------------------------------------------------
Fax | 831-232-0791
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 767 E YOSEMITE AVE STE E
-----------------------------------------------------
City | MERCED
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95340-8055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-232-0790
-----------------------------------------------------
Fax | 831-232-0791
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------