Lisa Bonacum, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95038870 Issued in CA

Practice address

1401 S Anaheim Blvd
Anaheim, CA 92805-6214

Phone

(714) 772-9800

NPI assigned

Jul 31, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1447173141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 E CERRO VILLA DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928672233",
            "telephone_number": "949-690-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056214",
            "telephone_number": "714-772-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACUM",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "811217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Boler
• Marita Bolis
• Ensi Bolouhari, PHARMD
• Krista A Bolton, CNM
• Veda Bommana
• Ana Evelyn Bond, RRT
• Emio Bond, MD
• Christopher Rodger Catacutan Bondoc, ASW
• April Bondurant
• Caroline Bonilla, MA

• Family Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.