LISA JIMENEZ (NPI# 1558653972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558653972 |
| Entity Type | Individual |
| Full Name | LISA JIMENEZ |
| Credential | REHABILITATION SPECI |
| Practice Address |
117 W Tunnel St Santa Maria CA 93454 |
| Mailing Address |
784 High St San Luis Obispo CA 93401-5243 |
| Practice Telephone | 8056144940 |
| Practice Fax Number | 8056140179 |
| Mailing Telephone | 8056144940 |
| Mailing Fax Number | 8056140179 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370339 | Lisa Jimenez | Counselor | 11050 N Kendall Dr Ste 102, Miami, FL 33176-1236 | 2017-12-01 |
| 1932637543 | Lisa Jane Jimenez | Nurse Practitioner | 301 Dr Carter Blvd, Bunnell, FL 32110-6212 | 2017-05-25 |
| 1891931119 | Lisa Jimenez | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2008-12-17 |
| 1790800381 | Lisa Cynthia Jimenez | Social Worker | 2120 Cienaga St, Oceano, CA 93445-9016 | 2007-03-20 |
| 1619902806 | Lisa A Jimenez | Pediatrics | 9210 Golf Course Rd Nw, Albuquerque, NM 87114-5891 | 2006-07-12 |
| Street Address |
117 W TUNNEL ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1235644014 | Robert Joesph Cook | Counselor | 624 W Foster Rd, Santa Maria, CA 93455-3623 | 2017-12-03 |
| 1164934246 | Vanessa Maya Madrigal | Counselor | 212 Carmen Ln Ste 2012nd, Santa Maria, CA 93458-7769 | 2017-10-30 |
| 1366960957 | Rodriguez Fcc | Counselor | 307 Jala Ct, Santa Maria, CA 93454-7904 | 2017-09-02 |
| 1154849743 | Saucedo Fcc | Counselor | 1510 Lark St, Santa Maria, CA 93454-7264 | 2017-09-02 |
| 1891213484 | Garcia Fcc | Counselor | 1036 Gaylene Dr, Santa Maria, CA 93458-1221 | 2017-09-02 |
| 1780102376 | Paz Fcc | Counselor | 1640 Capitola St, Santa Maria, CA 93458-7318 | 2017-09-02 |
| 1497270052 | Cac Tanglewood Center | Counselor | 1890 Sandalwood Dr, Santa Maria, CA 93455-2846 | 2017-08-04 |
| 1770008336 | Cac Sierra Madre | Counselor | 1002 Sierra Madre Ave, Santa Maria, CA 93454-6337 | 2017-08-04 |
| 1679098230 | Cac Westgate Center | Counselor | 1240 Bethel Ln Ste 1a, Santa Maria, CA 93458-8387 | 2017-08-04 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on LISA 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.