Individual provider · Type 1 NPI
Jesse Anthony Bonilla, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Santa Ana, CA
NPI number
1689440711
Active
Practice location
2112 E 4th St Ste 228A
Santa Ana, CA 92705-3840
Fax (949) 749-7433
Mailing address
2112 E 4th St Ste 228
Santa Ana, CA 92705-3840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95028137 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1689440711
Jesse Anthony Bonilla, PMHNP-BC's National Provider Identifier is 1689440711, issued on Nov 29, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Ana, CA. The record was last updated on Dec 8, 2025.