Active NPI
Araceli Jimenez, FNP-C
- Family Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027589
- Practice address
- 3816 Woodruff Ave Ste 411
Long Beach, CA 90808-2146 - Phone
- (562) 485-5550
- NPI assigned
- Oct 12, 2023
- Last updated
- Jul 20, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027589 | CA | Primary |
Addresses
Primary practice location
3816 Woodruff Ave Ste 411
Long Beach, CA 90808-2146
Mailing address
P.O. Box 5200 Clark Ave # 11
Lakewood, CA 90714
Other practice location 1
9353 Imperial Hwy
Downey, CA 90242-2812
Phone (562) 657-4250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027589 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Tahmina Haq MD | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Current | Accepting new patients |
Locations
631 S Brookhurst St
Ste 214
Anaheim, CA 92804
Phone (714) 545-5200
3816 Woodruff Ave
Ste 411
Long Beach, CA 90808
Phone (562) 257-6110
5150 E Pacific Coast Hwy
Ste 500
Long Beach, CA 90804
Phone (562) 299-5200
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCIADD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1962783704
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- Internal Medicine Physician
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- NPI 1003949975
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- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1316728462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5200 CLARK AVE # 11",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "90714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE STE 411",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082146",
"telephone_number": "562-485-5550"
}
],
"practiceLocations": [
{
"address_1": "9353 Imperial Hwy",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422812",
"country_code": "US",
"telephone_number": "562-657-4250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ARACELI",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027589",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9353 Imperial Hwy",
"city": "Downey",
"state": "CA",
"country_code": "US",
"postal_code": "902422812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.