Ronnie L. Bunkley
NPI 1194974717ActiveIndividual· Psychologist, Clinical· Canoga Park, CA
Psychologist, Clinical with Permanente Medical Group Inc, practicing in Canoga Park, California. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1194974717 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2008 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY33877 | CA |
| Social Worker, Clinical | 1041C0700X | LCSW59618 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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