MR. JESSE ANTHONY BONILLA PMHNP-BC
NPI 1689440711
Nurse Practitioner - Psychiatric/Mental Health in Santa Ana, CA

Q: What is Jesse Bonilla's NPI number?

The NPI number for Jesse Bonilla is 1689440711. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Q: What is Jesse Bonilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesse Bonilla was last updated on December 8, 2025. 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.

Active since November 29, 2023PECOS Enrolled

2112 E 4TH ST STE 228A, SANTA ANA, CA 92705(714) 420-9890(949) 749-7433 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, Jul 10, 2025, Apr 27, 2024 and 1 more (4 updates tracked since 2023).

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About Mr. Jesse Anthony Bonilla Pmhnp-bc NPPES

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

MR. JESSE ANTHONY BONILLA PMHNP-BC (NPI 1689440711) is an individual psychiatric/mental health provider in Santa Ana, California, licensed in California (95028137) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689440711

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. JESSE ANTHONY BONILLACredential: PMHNP-BC

Location Address2112 E 4TH ST STE 228ASanta Ana, CA 92705-3840

Mailing Address2112 E 4th St Ste 228Santa Ana, CA 92705-3840 · (714) 420-9890 · Fax (949) 749-7433

Phone(714) 420-9890

Fax(949) 749-7433

Sole ProprietorNo

Enumeration DateNovember 29, 2023

Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1689440711 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 · 95028137

2112 E 4TH ST STE 228A, Santa Ana, CA 92705

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Other Identifiers 1

MedicaidCB540002CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jesse Anthony Bonilla Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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

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

DEMETRIA POSADAS PMNNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

2112 E 4TH ST STE 228A
SANTA ANA, CA 92705

Orange County (562) 342-0566

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 Jesse Bonilla's NPI number?

The NPI number for Jesse Bonilla is 1689440711. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Jesse Bonilla located?

Jesse Bonilla practices at 2112 E 4th St Ste 228A, Santa Ana, CA 92705. The listed phone number is (714) 420-9890.

What is Jesse Bonilla's specialty?

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

Is Jesse Bonilla enrolled in Medicare?

Yes. Jesse Bonilla is registered in the Medicare PECOS enrollment system.

What insurance does Jesse Bonilla accept?

Health plans from Providence Health Plan list Jesse Bonilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Bonilla was last updated on December 8, 2025. 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.