Andres Jimenez
PROVIDENCE MEDICAL INSTITUTE


Address: 1499 W 1st St, San Pedro, CA 90732-3255
Phone: 3108319482

Andres Jimenez (NPI# 1871609404, PAC ID# 0446395842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1871609404
PAC ID by PECOS 0446395842
Professional Enrollment ID I20100310000601
Full Name Andres Jimenez
Organization Legal Name PROVIDENCE MEDICAL INSTITUTE
Address 1499 W 1st St
San Pedro
CA 90732-3255
Phone Number 3108319482
Gender M
Medical School UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 5991609737
Number of Group Practice Members 250
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050078 PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
050351 TORRANCE MEMORIAL MEDICAL CENTER
050353 PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE

Other Locations

Address Phone Organization
1499 W 1st St, San Pedro, CA 90732-3255 3108319482 PROVIDENCE MEDICAL INSTITUTE

Organization Information

Organization Legal Name PROVIDENCE MEDICAL INSTITUTE
Physicians 252

Physicians with the same organization

Name Specialty Organization Address
Lisa A Garner Nurse Practitioner Providence Medical Institute 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702
Jennifer S Lee Nurse Practitioner Providence Medical Institute 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907
Danielle N Anderson Obstetrics/gynecology Providence Medical Institute 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800
Julie A Gould Obstetrics/gynecology Providence Medical Institute 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455
Reza Askari Obstetrics/gynecology Providence Medical Institute 621 S Butte St, San Pedro, CA 90732-3510
Brenda Shen Family Medicine Providence Medical Institute 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333
Raj U Dugel Ophthalmology Providence Medical Institute 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167
Jeffrey Work Interventional Cardiology Providence Medical Institute 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210
Peter J Georgio Ii Family Medicine Providence Medical Institute 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929
Michael M Marvi Neurology Providence Medical Institute 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569

Office Location

Street Address 1499 W 1ST ST
City SAN PEDRO
State CA
Zip 90732-3255

Physicians in the same location

Name Specialty Organization Address
Lawrence B Greenberg Family Medicine Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255
Keri Sharona Hyatt Wardwell Family Medicine Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255
Crescenzo Pisano Internal Medicine Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255
Patricio Clavecillas Family Medicine Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255
Olga M Calof Endocrinology Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255
Terry T Ishihara Family Medicine Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255
Aeree Yoon Internal Medicine Providence Medical Institute 1499 W 1st St, San Pedro, CA 90732-3255

Physicians in the same zip code

Name Specialty Organization Address
Enrique Santana Chiropractic 28122 S Western Ave, San Pedro, CA 90732-1248
Lawrence Marshall Optometry 28142 S Western Ave, San Pedro, CA 90732-1248
Stephen D Taus Internal Medicine 1366 W 7th St, San Pedro, CA 90732-3500
Neel Shah Emergency Medicine Stephen R Shea Md Inc 1300 W 7th St, San Pedro, CA 90732-3505
Israel J Hernandez-arce Internal Medicine Providence Medical Institute 1300 W 7th St, San Pedro, CA 90732-3505
Steven Kwon Internal Medicine Providence Medical Institute 1300 W 7th St, San Pedro, CA 90732-3505
Gayne Marie Brenneman-slay Anesthesiology New Line Anesthesia Services Inc 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505
Mehdi Hemmat Obstetrics/gynecology Providence Medical Institute 1300 W 7th St, San Pedro, CA 90732-3505
Alex D Doo Emergency Medicine Stephen R Shea Md Inc 1300 W 7th St, San Pedro, CA 90732-3505
Aja Castillo Nurse Practitioner Stephen R Shea Md Inc 1300 W 7th St, San Pedro, CA 90732-3505
Find all physicians in zip 90732

Competitor

Search similar physicians

City SAN PEDRO
Zip Code 90732
Specialty FAMILY MEDICINE
City + Specialty SAN PEDRO + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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