Active NPI
Jose Garcia Jimenez, RDHAP
- Dental Hygienist
- Winchester, CA
National Provider Identifier
1093785685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 225
- Practice address
- 31835 Corte San Pablo
Winchester, CA 92596 - Phone
- (951) 375-7495
- Fax
- (951) 526-2423
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22341 | CA | |
| Dental Hygienist | 124Q00000X | 225 | CA | Primary |
Addresses
Primary practice location
31835 Corte San Pablo
Winchester, CA 92596
Mailing address
31835 Corte San Pablo
Winchester, CA 92596
Phone (951) 375-7495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22341 | CA | MD | Dental Hygienist |
| 225 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230249600000",
"number": "1093785685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31835 CORTE SAN PABLO",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "92596",
"telephone_number": "951-375-7495",
"fax_number": "951-526-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31835 CORTE SAN PABLO",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "92596",
"telephone_number": "951-375-7495",
"fax_number": "951-526-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JOSE",
"middle_name": "GARCIA",
"name_prefix": "Mr.",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2008-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "22341",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.