Marlon Jimeno

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025474 Issued in CA

Practice address

2901 Sillect Ave Ste 100
Bakersfield, CA 93308-6372

Phone

(661) 323-8384

Fax

(661) 323-9326

NPI assigned

Jun 8, 2023

Sex

Male

Sole proprietor

No

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

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

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Centric Health

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1831248236
  Medicare reassignment NPD
• Centric Health

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1578076501
  NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1053005280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-371-2796",
            "fax_number": "661-438-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086372",
            "telephone_number": "661-323-8384",
            "fax_number": "661-323-9326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Old River Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933118334",
            "country_code": "US",
            "telephone_number": "661-323-8384",
            "fax_number": "661-323-9326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENO",
        "first_name": "MARLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Jimenez
• Soledad Jimenez
• Sophia Jimenez
• Tayler Jimenez
• Thais Yarelee Jimenez
• Stephanie Jimerson, MA
• Jinkoni Transportation LLC
• Gabrielle Renee Jischke
• Mayur Arvind Jivraj
• JKC Enterprises LLC

• Family Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.