Active NPI
Megan Rosalieann Jimenez
- Marriage & Family Therapist
- West Covina, CA
National Provider Identifier
1255974465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111766
- Practice address
- 1509 W Cameron Ave Ste 230
West Covina, CA 91790-2725 - Phone
- (626) 993-3000
- NPI assigned
- Oct 21, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 111766 | CA | Primary |
Addresses
Primary practice location
1509 W Cameron Ave Ste 230
West Covina, CA 91790-2725
Mailing address
1509 W Cameron Ave Ste 230
West Covina, CA 91790-2725
Phone (626) 993-3000
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 |
|---|---|---|---|
| 111766 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1255974465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 W CAMERON AVE STE 230",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902725",
"telephone_number": "626-993-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 W CAMERON AVE STE 230",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902725",
"telephone_number": "626-993-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "MEGAN",
"middle_name": "ROSALIEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.