Raul Jimenez Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10680 Treena St Ste 170
San Diego, CA 92131-2443

Phone

(442) 271-5872

NPI assigned

Jul 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1043862956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 TREENA ST STE 170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312443",
            "telephone_number": "442-271-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 TREENA ST STE 170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312443",
            "telephone_number": "442-271-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "RAUL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jimenez
• Michelle Jimenez, M.A., LPCC
• Nina Pauline Jimenez, R.N.
• Ninaira Orenza Jimenez
• Randy Sayurin Jimenez
• Rene Jimenez
• Richard Gonzales Jimenez, MD
• Skylabelle Marie O Jimenez
• Stefanny Melannie Jimenez
• Susana Jimenez, SLP

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.