Organization Active NPI

Alfredo Bimbela

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1346756178
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15951 Issued in CA
Legal business name
ALFREDO BIMBELA
Practice address
3585 Maple St Ste 233
Ventura, CA 93003-9148
Phone
(805) 284-1783
Fax
(888) 958-5269
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Dr. Alfredo Bimbela, PHD, FNP, PHMHNPNPI 1982746749
Title
Provider
Phone
(805) 284-1783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 15951 CA Primary

Addresses

Primary practice location

3585 Maple St Ste 233
Ventura, CA 93003-9148

Mailing address

1500 Palma Dr FL 2
Ventura, CA 93003-6451
Phone (805) 284-1783

National Provider Directory

National Provider Directory

Locations

3585 Maple St
Ste 233
Ventura, CA 93003
Phone (805) 256-3497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1346756178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PALMA DR FL 2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036451",
            "telephone_number": "805-284-1783",
            "fax_number": "888-958-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 233",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039148",
            "telephone_number": "805-284-1783",
            "fax_number": "888-958-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO BIMBELA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "BIMBELA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "805-284-1783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, FNP, PHMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "15951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.