Individual provider Active NPI

Sajid Jimenez, OTA

  • Occupational Therapy Assistant
  • Visalia, CA
National Provider Identifier
1275165219
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2042 Issued in CA
Practice address
2208 W Sunnyside Ave Ste a
Visalia, CA 93277-7292
Phone
(559) 627-3274
Fax
(559) 627-3284
NPI assigned
Feb 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2042 CA Primary

Addresses

Primary practice location

2208 W Sunnyside Ave Ste a
Visalia, CA 93277-7292

Mailing address

2208 W Sunnyside Ave Ste a
Visalia, CA 93277-7292
Phone (559) 627-3274

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL authorization@dashtherapy.org Health Information Exchange (HIE)

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
2042CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dash Therapy a Professional Corporation CurrentSince Mar 9, 2020 Accepting new patients

Locations

2208 W Sunnyside Ave
Ste A
Visalia, CA 93277
Phone (559) 627-3274

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1275165219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 W SUNNYSIDE AVE STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777292",
            "telephone_number": "559-627-3274",
            "fax_number": "559-627-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 W SUNNYSIDE AVE STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777292",
            "telephone_number": "559-627-3274",
            "fax_number": "559-627-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "SAJID",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "authorization@dashtherapy.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "webpt",
            "address_1": "2208 W Sunnyside Ave Ste A",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932777292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.