DR. RICHARD GONZALES JIMENEZ (NPI# 1568590420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568590420 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GONZALES JIMENEZ |
| Credential | MD |
| Practice Address |
3111 Camino Del Rio N Suite 600 San Diego CA 92108-5720 |
| Practice Telephone | 6196416910 |
| Mailing Telephone | 6196416910 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A43394 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1073802823 | Richard Jimenez | Counselor | 4640 Broadway, Depew, NY 14043-3826 | 2011-04-01 |
| 1063472454 | Richard Jimenez | Nurse Anesthetist, Certified Registered | 2016 Fair Oaks Dr, Mission, TX 78574-2000 | 2006-03-28 |
| 1366484040 | Richard Alan Houdek Jimenez | Internal Medicine | 1909 214th St Se Ste 211, Bothell, WA 98021-4418 | 2006-06-10 |
| Street Address |
3111 CAMINO DEL RIO N SUITE 600 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699876540 | Marilyn Ruth Friesen | Psychologist | 3111 Camino Del Rio N, Ste 400, San Diego, CA 92108-5720 | 2006-09-25 |
| 1326396540 | Darlene Mae Layton | Counselor | 3111 Camino Del Rio N, Suite 467, San Diego, CA 92108-5720 | 2012-08-20 |
| 1538455571 | Gordon D Heinrichs | Chiropractor | 3111 Camino Del Rio N, 1000, San Diego, CA 92108-5720 | 2011-06-28 |
| 1518123470 | Natalie Smith | Social Worker | 3111 Camino Del Rio N, San Diego, CA 92108-5720 | 2008-07-31 |
| 1982870978 | Entra Health Systems LLC | Durable Medical Equipment & Medical Supplies | 3111 Camino Del Rio N, Suite 101, San Diego, CA 92108-5732 | 2008-04-30 |
| 1871633446 | Maria A Rodriguez | Psychologist | 3111 Camino Del Rio N, Ste 400, San Diego, CA 92108-5720 | 2007-02-06 |
| 1861538589 | Leslie Ann Kleiman | Marriage & Family Therapist | 3111 Camino Del Rio N, Suite 400, San Diego, CA 92108-5720 | 2007-01-29 |
| 1467513218 | Acn Group of California, Inc | Health Maintenance Organization | 3111 Camino Del Rio N, San Diego, CA 92108-5720 | 2006-12-13 |
| 1891885653 | Michael Justin Bailey | Psychiatry & Neurology | 3111 Camino Del Rio N, Suite 600, San Diego, CA 92108-5720 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| 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.