Individual provider Active NPI

Aaron Ross Gutierrez Jimenez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sacramento, CA
National Provider Identifier
1053816157
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
174214 Issued in CA
Practice address
2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone
(925) 685-4224
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 174214 CA Primary

Addresses

Primary practice location

2300 Bell Executive LN
Sacramento, CA 95825-4068

Mailing address

2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone (925) 685-4224

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003537 CA Practitioner - Internal MedicinePractitioner - Endocrinology 8628317294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

2182 E St
Concord, CA 94520-2012
Phone (925) 685-4228

2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone (925) 685-4224

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174214CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jiva Health, Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

5173 Lone Tree Way
Antioch, CA 94531
Phone (925) 685-4228

141 Sand Creek Rd
Ste B
Brentwood, CA 94513
Phone (925) 626-7483

2182 East St
Concord, CA 94520
Phone (925) 392-4731

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

2300 Bell Executive Ln
Sacramento, CA 95825
Phone (615) 327-6611

2001 Union St
Ste 250
San Francisco, CA 94123
Phone (415) 359-9999

2601 Nut Tree Rd
Ste B
Vacaville, CA 95687
Phone (707) 446-2762

215 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (770) 365-5032

Interoperability endpoints

  • Direct secure messaging: ajimenez173069@hpmg.direct-ci.net

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1053816157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "925-685-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "925-685-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "AARON ROSS",
        "middle_name": "GUTIERREZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "174214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.