ANDREA JIMENEZ (NPI# 1215384011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215384011 |
| Entity Type | Individual |
| Full Name | ANDREA JIMENEZ |
| Practice Address |
1425 W Foothill Blvd Fl 3 Upland CA 91786-8007 |
| Mailing Address |
27261 Las Ramblas Ste 220 Mission Viejo CA 92691-6468 |
| Practice Telephone | 8775277227 |
| Mailing Telephone | 7149966865 |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2275 S Main St Ste 201, Corona, CA 928825303 | 9512793222 | 9512795222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285163618 | Andrea P Jimenez | Behavioral Analyst | 147-15b Roosevelt Ave, 15b, Flushing, NY 11354 | 2017-06-08 |
| 1295780393 | Andrea Mercedes Jimenez | Psychiatry & Neurology | 412 Caldwell Ext, Building 2, Chapel Hill, NC 27516-2065 | 2006-05-24 |
| 1013434604 | Andrea Jimenez | Registered Nurse | 2010 Zonal Ave, Los Angeles, CA 90033-1026 | 2017-08-24 |
| 1265964902 | Andrea Michelle Jimenez | Pediatrics | 19333 Clay Rd, Katy, TX 77449-4001 | 2017-03-31 |
| 1396093928 | Andrea M. Jimenez | Case Manager/Care Coordinator | 58967 Business Center Dr, Suite C, D, & E, Yucca Valley, CA 92284-7308 | 2012-08-29 |
| Street Address |
1425 W FOOTHILL BLVD FL 3 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487076279 | Amie Aguilar | Marriage & Family Therapist | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2014-01-13 |
| 1154968501 | Deanna Elyse Padilla | Counselor | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-12-04 |
| 1568006807 | Yasmine Wilson | Case Manager/Care Coordinator | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-10-30 |
| 1689217796 | Amber M Godinez | Counselor | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-10-21 |
| 1689225583 | Roxana Montano-gonzalez | Case Manager/Care Coordinator | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-09-23 |
| 1932758778 | Yoseline Diaz | Case Manager/Care Coordinator | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-09-04 |
| 1437707221 | Catherine Butcher | Marriage & Family Therapist | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-08-27 |
| 1144872888 | Rosa Zuleyma Ramirez | Counselor | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-07-12 |
| 1740842855 | Ashley Lynn Wilson-dixon | Counselor | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-06-28 |
| 1093289456 | Mariah Anissa Cordova | Case Manager/Care Coordinator | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437963 | Chelsea Heller | Counselor | 968 Carson St, Upland, CA 91784-1831 | 2020-05-01 |
| 1225669393 | All In Family Counseling | Counselor | 1857 Wilson Ave, Upland, CA 91784-7449 | 2020-01-28 |
| 1063059905 | Courtney Cope | Counselor | 1207 Jacaranda Pl, Upland, CA 91784-7410 | 2019-12-10 |
| 1780231449 | Lupita Rojas | Counselor | 1425 W Foothill Blvd Fl Ave3, Upland, CA 91786-8007 | 2019-08-19 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1023585841 | Andrea L Hollis | Counselor | 1420 Chaffee St Apt 154, Upland, CA 91786-5575 | 2018-10-30 |
| 1336614940 | Karisa Nicole Quick | Counselor | 231 N Euclid Ave, Upland, CA 91786-6038 | 2018-10-10 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1477090413 | Evelyne Banks | Counselor | 1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786 | 2017-01-29 |
| 1558814830 | Sabrina Analise Elias | Counselor | 1425 W Foothill Blvd Ste 300, Upland, CA 91786 | 2016-08-03 |
| Find all providers in UPLAND | ||||
Please comment or provide details below to improve the information on ANDREA JIMENEZ.
| 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.