1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Nurse Practitioner
  6. NPI Profile

CONRAD BONILLA PMHNP
NPI 1235764630
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, CA

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment
1775 CHESTNUT AVE, LONG BEACH, CA 90813(562) 599-8444 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Mar 5, 2020 (2 updates tracked since 2020).

About Conrad Bonilla Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONRAD BONILLA PMHNP (NPI 1235764630) is an individual psychiatric/mental health provider in Long Beach, California, licensed in California (95036333) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235764630
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCONRAD BONILLACredential: PMHNP
Location Address1775 CHESTNUT AVELong Beach, CA 90813-1674
Mailing Address980 S Los Robles AvePasadena, CA 91106-4362 · (323) 606-3189
Phone(562) 599-8444
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 5, 2020
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1235764630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95036333
1775 CHESTNUT AVE, Long Beach, CA 90813
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 S Main StCorona, CA 92882-3420 · Phone (951) 737-4343
Location 21680 E 120th StLos Angeles, CA 90059-3026 · Phone (424) 338-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Conrad Bonilla Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163909953
PECOS Enrollment IDI20260122004004
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Conrad Bonilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Precision Psychiatric Services Inc
312 mi
Neurology
455 SILICON VALLEY BLVD
San Jose, CA 95138
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
NPI 1174094064 (669) 900-1731
Psychplus Associates Of California PC
361 mi
Psychiatry
3095 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1457179442 (832) 869-4818
Psychplus Medical Associates Of California PC
1,354 mi
Internal Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
NPI 1124875588 (832) 869-4818

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YESENIA CHACON
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-8444
MR. ALVIS L JOHNSON II LVN
Licensed Practical Nurse
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-4444
STEPHANIE SCHROEDER
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-8444
ERIN W CATCHING JR.
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-8444
TRAVION I MCINTYRE
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-8444
RICKEY EUGENE GALLOWAY CERTIFIED COUNSELOR
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-8444
JOHN GIBSON
Licensed Psychiatric Technician
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (310) 707-4318
NICHOLAS BRIAN GAMINO
Student in an Organized Health Care Education/Training Program
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Los Angeles County (562) 599-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Bonilla's NPI number?

The NPI number for Conrad Bonilla is 1235764630. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Conrad Bonilla located?

Conrad Bonilla practices at 1775 Chestnut Ave, Long Beach, CA 90813. The listed phone number is (562) 599-8444.

What is Conrad Bonilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Conrad Bonilla enrolled in Medicare?

Yes. Conrad Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Conrad Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conrad Bonilla reassigns Medicare benefits to 3 organizations: Precision Psychiatric Services Inc (San Jose, CA), Psychplus Associates Of California PC (Berkeley, CA) and Psychplus Medical Associates Of California PC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Conrad Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Conrad Bonilla was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.