Individual provider Active NPI

Angelica Rocio Jimenez, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Hollywood, FL
National Provider Identifier
1013012566
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME95805 Issued in FL
Practice address
1150 N 35TH Ave
Suite 135
Hollywood, FL 33021-5424
Phone
(954) 265-6989
Fax
(954) 965-3599
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A93472 CA
Hospitalist Physician 208M00000X ME95805 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME95805 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 135
Hollywood, FL 33021-5424

Mailing address

5200 NE 2ND Ave
Miami, FL 33137-2706
Phone (305) 751-8626

Other identifiers 1

IdentifierTypeStateIssuer
2773210-00MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajimenez6491@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070212000041 FL Practitioner - Family PracticePractitioner - Internal Medicine 4183626765 Reassigns benefits to 8 organizations
I20140402000873 CA Practitioner - Family Practice 4183626765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93472CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Jewish Health Systems, Inc. CurrentSince Jan 17, 2019 Accepting new patients
Collins Physician Services, LLC Hospitalist CurrentSince Aug 16, 2021 Accepting new patients
South Broward Hospital District Family Medicine CurrentSince Nov 1, 2006 Accepting new patients
South Broward Hospital District Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Oct 10, 2017 Accepting new patients
Community Health Partners CurrentSince Jun 1, 2022 Accepting new patients
QMC LLC Hospitalist CurrentSince May 14, 2019 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Oak Grove Physician Services, P.a. Hospitalist CurrentSince Feb 3, 2024 Accepting new patients
Farallon Inpatient Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cape Coral Hospitalists Inc CurrentSince May 1, 2020 Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Jul 1, 2014 Accepting new patients
Cogent Healthcare of Pensacola LLC Family Medicine Current Accepting new patients
South Broward Hospital District CurrentSince Nov 1, 2006 Accepting new patients
San Francisco Emergency Medical Associates PastSince Mar 12, 2024 Accepting new patients

Locations (25 of 27)

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1150 N 35th Ave
Ste 135
Hollywood, FL 33021
Phone (954) 265-6989

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: ajimenez570585@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ajimenez6491@mhsdirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1013012566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-751-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 135",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-6989",
            "fax_number": "954-965-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANGELICA",
        "middle_name": "ROCIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93472",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME95805",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME95805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2773210-00",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajimenez6491@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.