ANTONIO JIMENEZ NPI 1669513586

NPI Information

  • NPI: 1669513586
  • Provider Name: ANTONIO JIMENEZ
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 1007 N LAKE AVE
    1007 N. LAKE AVE
    PASADENA, CA
    ZIP 91104
  • Phone: (626) 808-9746

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NPI Details

Antonio Jimenez is a day training habilitation specialist in Pasadena, CA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Antonio Jimenez NPI is 1669513586. 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:

1007 N LAKE AVE
1007 N. LAKE AVE
PASADENA, CA
ZIP 91104-521
Phone: (626) 808-9746

The enumeration date for this NPI number is 2/12/2007 and was last updated on 5/9/2025.

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
1167G00000XLicensed Psychiatric Technician33379CALIFORNIANo
2171M00000XCase Manager/Care CoordinatorNo
3373H00000XDay Training/Habilitation SpecialistYes

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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