Bonavy Som-Keo
NPI 1730628363 · Marriage & Family Therapist · Gardena, CA
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonavy Som-Keo is a Marriage & Family Therapist provider in Gardena, CA (NPI 1730628363).
Provider details
- NPI number
- 1730628363
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 18350 Mount Langley StSuite 140Fountain Valley, CA 92708-6900Phone: (714) 450-4118Fax: (714) 378-2631
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Frequently asked questions
- What is Bonavy Som-Keo's NPI number?
- Bonavy Som-Keo's National Provider Identifier (NPI) is 1730628363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonavy Som-Keo's specialty?
- Bonavy Som-Keo is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Bonavy Som-Keo located?
- Bonavy Som-Keo's practice location on file with NPPES is 14112 S Kingsley Dr, Gardena, CA 90249-3018.
- What is Bonavy Som-Keo's phone number?
- The practice phone number listed in the NPPES registry for Bonavy Som-Keo is (310) 217-7312.
- Does Bonavy Som-Keo accept Medicare?
- Bonavy Som-Keo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bonavy Som-Keo's NPI active?
- Yes — Bonavy Som-Keo's NPI (1730628363) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.