STEPHANIE JIMENEZ (NPI# 1518488865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518488865 |
Entity Type | Individual |
Full Name | STEPHANIE JIMENEZ |
Practice Address |
333 S Beaudry Ave Los Angeles CA 90017 |
Mailing Address |
333 S Beaudry Ave Los Angeles CA 90017-1466 |
Practice Telephone | 2132413841 |
Practice Fax Number | 2132413305 |
Mailing Telephone | 2132413841 |
Mailing Fax Number | 2132413305 |
Enumeration Date | 2017-06-27 |
Last Update Date | 2019-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
N | 202C00000X | Independent Medical Examiner | D9399333 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
333 S Beaudry Ave, Los Angeles, CA 90017 | 2132413841 | 2132413305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457890279 | Stephanie Jimenez | Behavioral Analyst | 164 1/2 N Avenue 23, Los Angeles, CA 90031-1802 | 2017-02-13 |
1700294154 | Stephanie Jimenez | Nurse Practitioner | 7323 N Dearing Ave, Fresno, CA 93720-0318 | 2014-07-29 |
1003371998 | Stephanie Jimenez | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2019-02-05 |
1033611140 | Stephanie Jimenez | Licensed Vocational Nurse | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-03-05 |
1346769585 | Stephanie Michelle Jimenez | Speech-Language Pathologist | 2828 Coral Way Ste 205, Coral Gables, FL 33145-3233 | 2017-09-19 |
1831320498 | Stephanie Jimenez | Physical Therapy Assistant | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2009-07-30 |
Street Address |
333 S BEAUDRY AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437142262 | Treesa Lowther | Nurse Practitioner | 333 S Beaudry Ave, 29th Floor-cost Recovery, Los Angeles, CA 90017 | 2005-08-26 |
1255932398 | Catalina Ruvalcaba | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-11-04 |
1003417478 | Shannon Giovanna Doss | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-11-03 |
1659987865 | Abby Long | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-22 |
1528673571 | Amanda Corrigan | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-15 |
1104430008 | Claudia Banuelos | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-08 |
1265046668 | Auri Rocha | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-02 |
1548873508 | Valentina Narino | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-28 |
1013520097 | Jared Hooper | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-28 |
1528671427 | Corrinne Ols | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
Find all providers in zip 90017 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90017 |
Please comment or provide details below to improve the information on STEPHANIE 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.