Alfredo Bimbela, PHD, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15951 Issued in CA

Practice address

1911 Williams Dr Ste 210
Oxnard, CA 93036-2612

Phone

(310) 592-7457

NPI assigned

Feb 12, 2007

Last updated

Jun 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological Behavioral Health IncGroup PAC ID 6204272271, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychological Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
  • NPI 1154954303

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Alfredo Bimbela

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
  • NPI 1346756178
  NPD Authorized official
• Psychological Behavioral Team Inc

  • Intellectual & Developmental Disabilities Psychologist
  • Westlake Village, CA
  • NPI 1215696349

  Family

  NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1982746749",
    "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": "1911 WILLIAMS DR STE 210",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "310-592-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Palma Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036451",
            "country_code": "US",
            "telephone_number": "805-284-1783",
            "fax_number": "888-958-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIMBELA",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "PHD, FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15951",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "15951",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19802",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "606401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Lee Bieniek
• Lisa Marie Biesemeyer
• Rosemary Bilby, COTA
• Stacey Bilic
• John C. Billesdon, M.D.
• Bio-Medical Applications of California, Inc. (FMC Dialysis Services Channel Islands)
• Bio-Medical Applications of California, Inc. (Bma Oxnard)
• Holly Bishop, LCSW,PPO
• Arlene Bislig
• Morgan Black

• Psychiatric/Mental Health Nurse Practitioner in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.

Verify at the official NPI Registry.