Active NPI
Jose Alberto Jimenez
- Certified Respiratory Therapist
- Orange City, FL
National Provider Identifier
1295534980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- TT17650
- Practice address
- 1055 Saxon Blvd
Orange City, FL 32763-8468 - Phone
- (386) 917-5000
- NPI assigned
- Mar 13, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT17650 | FL | Primary |
Addresses
Primary practice location
1055 Saxon Blvd
Orange City, FL 32763-8468
Mailing address
6797 Calistoga Cir
Port Orange, FL 32128-4033
Phone (407) 575-2376
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 |
|---|---|---|---|
| TT17650 | FL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1295534980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6797 CALISTOGA CIR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321284033",
"telephone_number": "407-575-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 SAXON BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638468",
"telephone_number": "386-917-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JOSE",
"middle_name": "ALBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "TT17650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.