JOSE MANUEL JIMENEZ VEGA M.D. NPI 1619208980

NPI Information

  • NPI: 1619208980
  • Provider Name: JOSE MANUEL JIMENEZ VEGA, M.D.
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9680 TAMARACK RD STE 130
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 265-7575

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NPI Details

Jose Manuel Jimenez Vega, M.D. is a pediatric endocrinology pediatrics in Woodbury, MN. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Jose Manuel Jimenez Vega, M.D. NPI is 1619208980. 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:

9680 TAMARACK RD STE 130
WOODBURY, MN
ZIP 55125-623
Phone: (651) 265-7575
Fax: (651) 265-7580

The NPI 1619208980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 11/4/2024.

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
1208000000XPediatrics70530MINNESOTANo
22080P0205XPediatricsPediatric Endocrinology4301108745MICHIGANNo
32080P0205XPediatricsPediatric Endocrinology70530MINNESOTAYes

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: 11/21/2025

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