Patricia Delcarmen Jimenez, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA12525 Issued in CA

Practice address

1718 Hollyvista Ave
Los Angeles, CA 90027-4626

Phone

(323) 662-1052

Fax

(323) 662-0267

NPI assigned

Dec 28, 2006

Last updated

Oct 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Cardiothoracic Surgery Medical Group, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Los Angeles, CA
  • NPI 1104818715
  NPD (past)
• Ocular Surgery Medical Associates

  • Ophthalmic Technician/Technologist
  • Los Angeles, CA
  • NPI 1790972693
  NPD (past)
• Physician Assistant Specialists-California Inc

  • Surgical Physician Assistant
  • Rancho Santa Margarita, CA
  • NPI 1245017185
  NPD (past)
• Saeed Hakim MD Inc

  • Colon & Rectal Surgery Physician
  • Los Angeles, CA
  • NPI 1811006612
  NPD (past)
• Taro Yokoyama, M.D., a Professional Corporation

  dba Pacific Cardiothoracic Surgery Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Los Angeles, CA
  • NPI 1508912908
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1245396092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 HOLLYVISTA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900274626",
            "telephone_number": "323-662-1052",
            "fax_number": "323-662-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 HOLLYVISTA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900274626",
            "telephone_number": "323-662-1052",
            "fax_number": "323-662-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "PATRICIA",
        "middle_name": "DELCARMEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA12525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Jimenez
• Mayra Jimenez
• Nora Elizabeth Jimenez
• Omar Jimenez Jr.
• Oscar Jimenez
• Ricky Jimenez
• Ritha Ramos Jimenez, PMHNP-BC
• Robert Gustavo Jimenez
• Rocio Jimenez
• Roy Jimenez

• Surgical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.