Anasochil Jimenez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55185 Issued in CA

Practice address

2515 W Pico Blvd
Los Angeles, CA 90006-4003

Phone

(213) 384-4555

NPI assigned

Dec 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anasochil.jimenez.1@14940.direct.athenahealth.com

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.

• Amniotti Inc

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
  • NPI 1780465062
  Medicare reassignment
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment
• Thomas Health Services Inc

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1659972099
  Medicare reassignment
• Stephens Medical Corporation

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1235839002
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1033624705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45232",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900450221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064003",
            "telephone_number": "213-384-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 N Avalon Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "CA",
            "postal_code": "907442601",
            "country_code": "US",
            "telephone_number": "310-835-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANASOCHIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55185",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Jimenez
• Adrian Diego Jimenez
• Alyssa Leslie Jimenez
• Amy Jimenez, BEHAVIOR ANALYST
• Amy Marie Jimenez, PH.D.
• Andrea Jimenez
• Angelica Galvan Jimenez, FNP
• Antonio Jimenez Jr.
• Araceli Fabiola Jimenez
• Ashley Renee Jimenez, BS

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.