ROBERT JIMENEZ NURSE PRACTITIONER NPI 1497155360

NPI Information

NPI: 1497155360
Provider Name: ROBERT JIMENEZ, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1625 SCHRADER BLVD
LOS ANGELES, CA
ZIP 90028
Phone: (323) 993-7500
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Robert Jimenez, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Los Angeles, CA. Robert Jimenez, NURSE PRACTITIONER NPI is 1497155360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1625 SCHRADER BLVD
LOS ANGELES, CA
ZIP 90028-213
Phone: (323) 993-7500

The NPI 1497155360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2014 and was last updated on 5/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		831722	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95011085	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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