Individual provider Active NPI

Joanne Marie Jimenez

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1245051549
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030906 Issued in CA
Practice address
7950 Cherry Ave Ste 105
Fontana, CA 92336-4023
Phone
(909) 434-1657
NPI assigned
Oct 18, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030906 CA Primary

Addresses

Primary practice location

7950 Cherry Ave Ste 105
Fontana, CA 92336-4023

Mailing address

7950 Cherry Ave Ste 105
Fontana, CA 92336-4023
Phone (909) 434-1657

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

LicenseStateTypeSpecialty
95030906CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imad Akel MD Inc CurrentSince Oct 27, 2024 Accepting new patients
Evangeline a. Gimbel, MD Inc. PastSince Oct 27, 2024 Accepting new patients

Locations

7950 Cherry Ave
Ste 105
Fontana, CA 92336
Phone (909) 434-1657

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1245051549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 CHERRY AVE STE 105",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364023",
            "telephone_number": "909-434-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 CHERRY AVE STE 105",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364023",
            "telephone_number": "909-434-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.