ROBERT GUSTAVO JIMENEZ (NPI# 1053962845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053962845 |
| Entity Type | Individual |
| Full Name | ROBERT GUSTAVO JIMENEZ |
| Practice Address |
1926 Beverly Blvd Los Angeles CA 90057-2402 |
| Mailing Address |
6737 Blewett Ave Van Nuys CA 91406-6013 |
| Practice Telephone | 2133531140 |
| Mailing Telephone | 8189191441 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083713614 | Robert L. Jimenez | Psychiatry & Neurology | 2608 N Main Ave Ste 101, San Antonio, TX 78212 | 2006-09-21 |
| 1497155360 | Robert Jimenez | Registered Nurse | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2014-08-28 |
| 1861713943 | Robert Anthony Jimenez | Surgery | 5901 Colonial Dr, Suite 311, Margate, FL 33063-5675 | 2010-06-12 |
| 1619143625 | Robert Jimenez | Pharmacist | 102 Babcock Rd, #102, San Antonio, TX 78201-3806 | 2008-04-30 |
| Street Address |
1926 BEVERLY BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104912336 | David Koroshec | Family Medicine | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2006-10-05 |
| 1407461510 | Liliana Martinez | Psychologist | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-09-15 |
| 1871105189 | Kristen Parrish | Marriage & Family Therapist | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-08-18 |
| 1700494705 | Rachael Michele Moore | Marriage & Family Therapist | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-07-16 |
| 1790308013 | Jorge Martin | Marriage & Family Therapist | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-05-20 |
| 1457980898 | Noe Alfredo Gavidia | Counselor | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-04-07 |
| 1003456385 | Edward Chavez | Counselor | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-01-14 |
| 1104466267 | Latham Lawton Iv | Counselor | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2020-01-07 |
| 1629615638 | Sarah Jean Han | Counselor | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2019-12-09 |
| 1922641430 | Mark Fernandez | Counselor | 1926 Beverly Blvd, Los Angeles, CA 90057-2402 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.