SUSANA JIMENEZ (NPI# 1124531470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124531470 |
| Entity Type | Individual |
| Full Name | SUSANA JIMENEZ |
| Credential | SLPA |
| Practice Address |
4204a Adams Ave San Diego CA 92116-2300 |
| Practice Telephone | 6194103512 |
| Practice Fax Number | 6194103512 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
4068 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038279 | Susana Jimenez | Massage Therapist | 104 N Laurel St Ste 101, Port Angeles, WA 98362-2637 | 2020-09-23 |
| 1750854865 | Susana Guadalupe Jimenez | Nurse Practitioner | 18370 Burbank Blvd Ste 707, Tarzana, CA 91356-2830 | 2019-01-11 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1548730146 | Susana Jimenez | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2018-11-27 |
| Street Address |
4204A ADAMS AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528216876 | Katherine Calarco | Specialist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2008-08-28 |
| 1578162244 | Jessica Cobb | Specialist/Technologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2020-10-22 |
| 1184259863 | Allison Chae Tyner | Speech-Language Pathologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2020-03-03 |
| 1316582836 | Rachel Litsas | Occupational Therapy Assistant | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-11-07 |
| 1720639081 | Jessica Elizabeth Lester | Speech-Language Pathologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-09-26 |
| 1720636137 | Jessica Leiser | Occupational Therapist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-08-28 |
| 1932667805 | Zarai Cazares Bedolla | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-03-08 |
| 1831653674 | Alessandra Andrade | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
| 1740744580 | Jamie Williams | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
| 1659835494 | Stephanie Sandoval | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058505 | Amanda Lauren Ramos Liberto Mcnamara | Specialist/Technologist | 7525 Metropolitan Drive, 308, San Diego, CA 92108-4412 | 2020-09-22 |
| 1316474018 | Shaina Mccollum | Specialist/Technologist | 2849 A St, Unit 3, San Diego, CA 92102-1775 | 2017-05-12 |
| 1922474568 | Christopher James Upton | Specialist/Technologist | 5151 Murphy Canyon Rd, Suite 150, San Diego Clinic, San Diego, CA 92123 | 2015-08-18 |
| 1699150656 | Laura Grace Spracher | Specialist/Technologist | 7850 Mission Center Ct Ste 100, San Diego, CA 92108-1323 | 2015-07-20 |
| 1891181087 | Angela Diaz | Specialist/Technologist | 9604 Caminito Tizona, San Diego, CA 92126-4103 | 2015-04-14 |
| 1578162244 | Jessica Cobb | Specialist/Technologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2020-10-22 |
| 1851920128 | Dolores Oviedo | Specialist/Technologist | 5151 Murphy Canyon Rd Ste 150, San Diego, CA 92123-4480 | 2020-04-07 |
| 1013573567 | Amanda Smith | Specialist/Technologist | 9466 Black Mountain Rd Ste 100, San Diego, CA 92126-4550 | 2019-05-09 |
| 1588123061 | Erin Murtagh | Specialist/Technologist | 5151 Murphy Canyon Rd Ste 150, San Diego, CA 92123-4480 | 2019-03-14 |
| 1659837359 | Jennyd Verdin | Specialist/Technologist | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2019-02-18 |
| Find all providers in SAN DIEGO | ||||
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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.