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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA BONACUM FNP-C
NPI 1447173141
Nurse Practitioner - Family in Anaheim, CA

Active since July 31, 2026
1401 S ANAHEIM BLVD, ANAHEIM, CA 92805(714) 772-9800 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Bonacum Fnp-c NPPES

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

LISA BONACUM FNP-C (NPI 1447173141) is an individual family provider in Anaheim, California, licensed in California (95038870) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1447173141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA BONACUMCredential: FNP-C
Location Address1401 S ANAHEIM BLVDAnaheim, CA 92805-6214
Mailing Address4421 E Cerro Villa DrOrange, CA 92867-2233 · (949) 690-8554
Phone(714) 772-9800
Sole ProprietorYes
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1447173141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95038870
Also ListedRegistered NurseTaxonomy 163W00000X · License 811217 (CA)
1401 S ANAHEIM BLVD, Anaheim, CA 92805
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Other Providers at the Same Location NPPES 5

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

PETER K SHEK
Dentist (General Practice)
1401 S ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 772-9800
DAVID SHEK M.D.,INC.
Clinic/Center (Primary Care)
1401 S ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 772-9800
DR. DAVID SHEK M.D.
Family Medicine
1401 S ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 772-9800
DR. PETER K SHEK DDS
Dentist (General Practice)
1401 S ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 772-9800
MARISSA MARTINI
General Practice
1401 S ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 772-9800

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 Lisa Bonacum's NPI number?

The NPI number for Lisa Bonacum is 1447173141. It was assigned to this individual provider in the NPPES registry on July 31, 2026.

Where is Lisa Bonacum located?

Lisa Bonacum practices at 1401 S Anaheim Blvd, Anaheim, CA 92805. The listed phone number is (714) 772-9800.

What is Lisa Bonacum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Bonacum was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.