Marisela Jimenez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

15000 Downey Ave Unit 342
Paramount, CA 90723-5830

Phone

(480) 468-9515

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1306599337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 DOWNEY AVE UNIT 342",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235830",
            "telephone_number": "480-468-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 DOWNEY AVE UNIT 342",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235830",
            "telephone_number": "480-468-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Jacobo
• Jagan N. Bansal, M.D., Inc.
• Jerry L Lanier DDS Inc.
• Elia Jimenez, RDA
• Erika Dariam Jimenez, B.A.
• Jin S Park DDS PC
• JL Calpar Inc
• Starles Laverne Johnson
• David K Jones II
• Jose S. Kua M.D. Facog Inc.

• Addiction (Substance Use Disorder) Counselor in Paramount, CA
• Providers in Paramount, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.