Individual provider Active NPI

Daniel Jimenez, MD

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1255466801
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G75231 Issued in CA
Practice address
801 N Tustin Ave
Ste 601
Santa Ana, CA 92705-3610
Phone
(714) 565-1077
Fax
(714) 565-1086
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G75231 CA 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000745 CA Practitioner - Family Practice 6002876521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica Buena Salud IncGroup PAC ID 2466549514, 4 clinicians

Practice addresses (Care Compare)

520 W 17TH St
Suite 1
Santa Ana, CA 92706-3614
Phone (714) 972-2727

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

Hospital & facility affiliations

  • Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75231CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Jimenez, MD, Inc Family Medicine CurrentSince Jul 1, 2004 Accepting new patients
Daniel Jimenez M.D., Inc. CurrentSince Apr 30, 2023 Accepting new patients
Clinica Buena Salud Inc Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

801 N Tustin Ave
Ste 601
Santa Ana, CA 92705
Phone (714) 543-9192

520 W 17th St
Ste 1
Santa Ana, CA 92706
Phone (714) 972-2727

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clinicabuenasalud.danieljimenez@162304.advancedmd-direct.com

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1255466801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 601",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053610",
            "telephone_number": "714-565-1077",
            "fax_number": "714-565-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 601",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053610",
            "telephone_number": "714-565-1077",
            "fax_number": "714-565-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.