Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conrad Bonilla, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235764630

Conrad Bonilla, PMHNP is a Nurse Practitioner in Long Beach, California. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2020
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1775 Chestnut Ave
Long Beach, CA 90813-1674
Phone: (562) 599-8444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 S Main St, Corona, CA 92882-3420 — (951) 737-4343
  • 1680 E 120th St, Los Angeles, CA 90059-3026 — (424) 338-8000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95036333 (CA)

Record details

NPI number1235764630
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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