Mr Jesse Anthony Bonilla, PMHNP-BC - Nurse Practitioner in Santa Ana, CA

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Mr Jesse Anthony Bonilla, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Santa Ana, California. Mr Jesse Anthony Bonilla is licensed to practice in California (license number 95028137) and his current practice location is 2112 E 4th St Ste 228a, Santa Ana, California. He can be reached at his office (for appointments etc.) via phone at (714) 420-9890.

NPI number for Mr Jesse Anthony Bonilla is 1689440711 and his current mailing address is 4206 Apricot Dr, Irvine, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689440711.

Contact Information

Mr Jesse Anthony Bonilla, PMHNP-BC
2112 E 4th St Ste 228a,
Santa Ana, CA 92705-3840
(714) 420-9890
(949) 749-7433

Map and Direction




Provider's Profile

Full NameMr Jesse Anthony Bonilla
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2112 E 4th St Ste 228a, Santa Ana, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689440711
  • Provider Enumeration Date: 11/29/2023
  • Last Update Date: 04/27/2024

Medical Identifiers

Medical identifiers for Mr Jesse Anthony Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689440711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95028137 (California)Primary

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. Mr Jesse Anthony Bonilla 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 AddressPractice Location Address
Mr Jesse Anthony Bonilla, PMHNP-BC
4206 Apricot Dr,
Irvine, CA 92618-4405

Ph: (714) 420-9890		Mr Jesse Anthony Bonilla, PMHNP-BC
2112 E 4th St Ste 228a,
Santa Ana, CA 92705-3840

Ph: (714) 420-9890

Reviews and Comments


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