Individual provider Active NPI

Rachel May Jimenez, MSN, FNP

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1255166351
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032987 Issued in CA
Practice address
1042 N Mountain Ave # B233
Upland, CA 91786-3695
Phone
(909) 367-6130
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 95197278 CA
Family Nurse Practitioner 363LF0000X 95032987 CA Primary

Addresses

Primary practice location

1042 N Mountain Ave # B233
Upland, CA 91786-3695

Mailing address

1042 N Mountain Ave # B233
Upland, CA 91786-3695
Phone (909) 367-6130

Other practice location 1

960 E Green St Ste 207
Pasadena, CA 91106-2401
Phone (626) 250-0017

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95197278CAMDMaternal Newborn Registered Nurse
95032987CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1255166351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N MOUNTAIN AVE # B233",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863695",
            "telephone_number": "909-367-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 N MOUNTAIN AVE # B233",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863695",
            "telephone_number": "909-367-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 E Green St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062401",
            "country_code": "US",
            "telephone_number": "626-250-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "RACHEL",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95197278",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.