Active NPI
Cristal Jimenez
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1124545371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 130201
- Practice address
- PO Box 32182
Los Angeles, CA 90032-0182 - Phone
- (323) 412-8265
- NPI assigned
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 130201 | CA | Primary |
Addresses
Primary practice location
PO Box 32182
Los Angeles, CA 90032-0182
Mailing address
PO Box 32182
Los Angeles, CA 90032-0182
Phone (323) 412-8265
Other practice location 1
11429 Valley Blvd
El Monte, CA 91731-3229
Phone (626) 993-3000
Other practice location 2
333 S Beaudry Ave
Los Angeles, CA 90017
Phone (213) 241-3841
Other practice location 3
5628 E Slauson Ave
Commerce, CA 90040
Phone (323) 318-9960
Other practice location 4
11429 Valley Blvd
El Monte, CA 91731
Phone (626) 993-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
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 |
|---|---|---|---|
| 130201 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1124545371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32182",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900320182",
"telephone_number": "323-412-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 32182",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900320182",
"telephone_number": "323-412-8265"
}
],
"practiceLocations": [
{
"address_1": "11429 Valley Blvd",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "917313229",
"country_code": "US",
"telephone_number": "626-993-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90017",
"country_code": "US",
"telephone_number": "213-241-3841",
"fax_number": "213-241-3305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5628 E Slauson Ave",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "90040",
"country_code": "US",
"telephone_number": "323-318-9960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11429 Valley Blvd",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "91731",
"country_code": "US",
"telephone_number": "626-993-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "CRISTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "130201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.