Individual provider Active NPI

Lorilee Bohn, DC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dana Point, CA
National Provider Identifier
1912219213
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023907 Issued in CA
Practice address
23822 Marmara Bay
Dana Point, CA 92629-4411
Phone
(415) 505-9311
NPI assigned
Jul 2, 2010
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023907 CA Primary
Nutrition Chiropractor 111NN1001X 29279 CA
Registered Nurse 163W00000X 95036583 CA

Addresses

Primary practice location

23822 Marmara Bay
Dana Point, CA 92629-4411

Mailing address

25226 Cabot Rd
Laguna Hills, CA 92653-5504
Phone (949) 274-9972

Other practice location 1

3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626
Phone (415) 505-9311

Other names 1

  • Lori Bohn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708002856 CA Practitioner - Nurse Practitioner 2163449828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29279CAMDGeneral Practice Dentistry
95036583CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Spine and Wellness Inc Past Accepting new patients
South Coast Spine Center Sales Chiropractic Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1912219213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25226 CABOT RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535504",
            "telephone_number": "949-274-9972",
            "fax_number": "949-276-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 MARMARA BAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294411",
            "telephone_number": "415-505-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Airway Ave Ste P3",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264626",
            "country_code": "US",
            "telephone_number": "415-505-9311",
            "fax_number": "888-974-9872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHN",
        "first_name": "LORILEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023907",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "29279",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95036583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BOHN",
            "credential": "DC, RN, PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.