NPIMap

Organization Active NPI

Daniel Jimenez M.D., Inc.

  • Health Service Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1104514942
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DANIEL JIMENEZ M.D., INC.
Practice address
801 N Tustin Ave Ste 601
Santa Ana, CA 92705-3610
Phone
(714) 565-1077
NPI assigned
Apr 28, 2023
Organization subpart
Yes
Parent organization
DANIEL JIMENEZ M.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Daniel Jimenez, MDNPI 1255466801
Title
President
Phone
(714) 565-1077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 601
Santa Ana, CA 92705-3610

Mailing address

801 N Tustin Ave Ste 601
Santa Ana, CA 92705-3610
Phone (714) 565-1077

Other names 1

  • The Healing Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Jimenez MD Inc2 organizations share this tax ID, including this one
Part of
Daniel Jimenez MD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1104514942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 601",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053610",
            "telephone_number": "714-565-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 601",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053610",
            "telephone_number": "714-565-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL JIMENEZ M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL JIMENEZ M.D., INC.",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-565-1077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.