Organization Active NPI

F Jimenez Medical Corporation

  • Family Medicine Physician
  • Upland, CA
National Provider Identifier
1023360807
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A40305 Issued in CA
Legal business name
F JIMENEZ MEDICAL CORPORATION
Practice address
308 N 2ND Ave
Upland, CA 91786-8325
Phone
(909) 920-9193
Fax
(909) 920-6019
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Francisco Jimenez, M.D.NPI 1972696573
Title
Ceo
Phone
(909) 920-9193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A40305 CA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A40305 CA

Addresses

Primary practice location

308 N 2ND Ave
Upland, CA 91786-8325

Mailing address

308 N 2ND Ave
Upland, CA 91786-8325
Phone (909) 920-9193

Other names 1

  • UPLAND MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
F Jimenez Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1023360807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N 2ND AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868325",
            "telephone_number": "909-920-9193",
            "fax_number": "909-920-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 2ND AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868325",
            "telephone_number": "909-920-9193",
            "fax_number": "909-920-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F JIMENEZ MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-920-9193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40305",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPLAND MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.