Active NPI
Bimisa Chata Augustin, DNP, MSN, APRN,FNP-C
- Family Nurse Practitioner
- San Clemente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131920
- Practice address
- 2719 S El Camino Real
San Clemente, CA 92672-3354 - Phone
- (737) 377-1600
- Fax
- (949) 569-1295
- NPI assigned
- Aug 16, 2016
- Last updated
- Mar 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 72601 | NM | |
| Family Nurse Practitioner | 363LF0000X | 854621 | NC | |
| Family Nurse Practitioner | 363LF0000X | 4015467 | KY | |
| Family Nurse Practitioner | 363LF0000X | 34323 | TN | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0002449-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0032880 | OH | |
| Family Nurse Practitioner | 363LF0000X | 267933 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 95028143 | CA | |
| Family Nurse Practitioner | 363LF0000X | APRN11025601 | FL | |
| Family Nurse Practitioner | 363LF0000X | MA7445643 | NV | |
| Family Nurse Practitioner | 363LF0000X | 4704418733 | MI | |
| Family Nurse Practitioner | 363LF0000X | 112050-23 | NH | |
| Family Nurse Practitioner | 363LF0000X | CNP241343 | ME | |
| Family Nurse Practitioner | 363LF0000X | AP131920 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 208982 | OK |
Addresses
Primary practice location
2719 S El Camino Real
San Clemente, CA 92672-3354
Mailing address
3604 Dodge City Dr
Killeen, TX 76549-5728
Phone (949) 484-9517
Other practice location 1
2025 Memory Ln Ste 300
Harker Heights, TX 76548-7488
Phone (949) 484-9517
Other practice location 2
701 N Green Valley Pkwy Ste 213
Henderson, NV 89074-6177
Phone (949) 484-9517
Other practice location 3
3000 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7802
Phone (949) 484-9517
Other practice location 4
1840 Pyramid Pl Ste 237
Memphis, TN 38132-1703
Phone (949) 484-9517
Other practice location 5
128 Chestnut St Ste 303A2
Philadelphia, PA 19106-3024
Phone (949) 484-9517
Other practice location 6
10 N High St Ste 222
Columbus, OH 43215-3497
Phone (949) 484-9517
Other practice location 7
3500 Comanche NW Building E, Ste #15a
Albuquerque, NM 87107-4546
Phone (949) 484-9517
Other practice location 8
20 Foundry St Ste 229
Concord, NH 03301-5419
Phone (949) 484-9517
Other practice location 9
2116 Broadwater Ave Ste 211
Billings, MT 59102-4764
Phone (949) 484-9517
Other practice location 10
400 Renaissance Ctr Ste 2626
Detroit, MI 48243-1502
Phone (949) 484-9517
Other practice location 11
7261 S Broadway Ste 14L
Littleton, CO 80122-8019
Phone (949) 484-9517
Other practice location 12
3499 Blazer Pkwy Ste 325
Lexington, KY 40509-2798
Phone (949) 484-9517
Other practice location 13
41 Hutchins Dr Building 3 UL-12
Portland, ME 04102-1931
Phone (949) 484-9517
Other names 1
- Mrs. Bimisa Chata Renteria
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO, AZ, NV, CA, NM, NH, KY, MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1840 Pyramid Place
Suite 237
Memphis, TN 38132-1703
Phone (949) 484-9517
20 Foundry St
Suite 229
Concord, NH 03301-5419
Phone (949) 484-9517
2025 Memory LN
Suite 300
Harker Heights, TX 76548-7488
Phone (254) 987-8802
2719 S El Camino Real
San Clemente, CA 92672-3354
Phone (949) 484-9517
3000 N Litchfield Rd
Suite 120
Goodyear, AZ 85395-7802
Phone (949) 484-9517
3499 Blazer Pkwy
Suite 325
Lexington, KY 40509-2798
Phone (949) 484-9517
3500 Comanche NW
Building E Suite 15a
Albuquerque, NM 87107
Phone (949) 484-9517
400 Renaissance Ctr
Suite 2626
Detroit, MI 48243-1502
Phone (949) 484-9517
7261 S Broadway
Suite 14L
Littleton, CO 80122-8019
Phone (949) 484-9517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0002449-C-NP | CO | MD | Family Nurse Practitioner |
| APRN11025601 | FL | MD | Family Nurse Practitioner |
| 4015467 | KY | MD | Family Nurse Practitioner |
| CNP241343 | ME | MD | Family Nurse Practitioner |
| 4704418733 | MI | MD | Family Nurse Practitioner |
| 854621 | NC | MD | Family Nurse Practitioner |
| MA7445643 | NV | MD | Family Nurse Practitioner |
| APRN.CNP.0032880 | OH | MD | Family Nurse Practitioner |
| 208982 | OK | MD | Family Nurse Practitioner |
| 34323 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Larson MD PC | Current | Accepting new patients | |
| Central Texas Holistic Care PLLC | Family | Current | Accepting new patients |
| LHP Texas MD Services Inc | Current | Accepting new patients |
Locations
3000 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 282-4078
7261 S Broadway
Ste 14L
Littleton, CO 80122
Phone (719) 349-0557
3499 Blazer Pkwy
Ste 325
Lexington, KY 40509
41 Hutchins Dr
Bldg 3
Portland, ME 04102
Phone (612) 999-5829
400 Renaissance Ctr
Ste 2626
Detroit, MI 48243
2116 Broadwater Ave
Ste 211
Billings, MT 59102
20 Foundry St
Ste 229
Concord, NH 03301
3500 Comanche Rd NE
Ste 15A
Albuquerque, NM 87107
2505 Anthem Village Dr
Henderson, NV 89052
2505 Anthem Village Dr
Ste E
Henderson, NV 89052
2505 Anthem Village Dr
Ste E162
Henderson, NV 89052
2505 Anthem Village Dr
Ste F
Henderson, NV 89052
2505 Anthem Village Dr
Ste F162
Henderson, NV 89052
701 N Green Valley Pkwy
Ste 213
Henderson, NV 89074
10 N High St
Ste 222
Columbus, OH 43215
128 Chestnut St
Ste 303
Philadelphia, PA 19106
Phone (215) 399-4128
1840 Pyramid Pl
Memphis, TN 38132
Phone (662) 687-1536
1840 Pyramid Pl
Ste 237
Memphis, TN 38132
201 S Lakeline Blvd
Ste 402
Cedar Park, TX 78613
Phone (512) 593-8443
2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802
800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933
800 W Central Texas Expy
Ste 125
Harker Heights, TX 76548
Phone (254) 618-1020
Interoperability endpoints
- bimisa.augustin.1@27185.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Killeen, TX
- NPI 1568295616
-
- Adult Health Nurse Practitioner
- Columbus, OH
- NPI 1487334843
AZ, CA, CO, KY, MI, NH, NM, NV, TN, TX
-
dba Wellstone Health Partners
- General Practice Physician
- Harker Heights, TX
- NPI 1841562667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1043765431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 DODGE CITY DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765495728",
"telephone_number": "949-484-9517",
"fax_number": "361-371-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 S EL CAMINO REAL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723354",
"telephone_number": "737-377-1600",
"fax_number": "949-569-1295"
}
],
"practiceLocations": [
{
"address_1": "2025 Memory Ln Ste 300",
"address_purpose": "LOCATION",
"city": "Harker Heights",
"state": "TX",
"postal_code": "765487488",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 N Green Valley Pkwy Ste 213",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890746177",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 N Litchfield Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853957802",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Pyramid Pl Ste 237",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381321703",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 Chestnut St Ste 303A2",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191063024",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 N High St Ste 222",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153497",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3500 Comanche NW Building E, Ste #15a",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871074546",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Foundry St Ste 229",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033015419",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Broadwater Ave Ste 211",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591024764",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Renaissance Ctr Ste 2626",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431502",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7261 S Broadway Ste 14L",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801228019",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3499 Blazer Pkwy Ste 325",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092798",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Hutchins Dr Building 3 UL-12",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041021931",
"country_code": "US",
"telephone_number": "949-484-9517",
"fax_number": "949-569-1295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUGUSTIN",
"first_name": "BIMISA",
"middle_name": "CHATA",
"name_prefix": "Dr.",
"credential": "DNP, MSN, APRN,FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2025-03-21",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "72601",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "854621",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4015467",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "34323",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0002449-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0032880",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "267933",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95028143",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11025601",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "MA7445643",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704418733",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "112050-23",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP241343",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP131920",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "208982",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BIMISA",
"last_name": "RENTERIA",
"middle_name": "CHATA",
"prefix": "MRS.",
"credential": "MSN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.