Active NPI
Irma Lucia Lopez Jimenez, PSY.D, M.S.
- Clinical Psychologist
- La Puente, CA
National Provider Identifier
1336609528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- WAIVER
- Practice address
- 160 S 7TH Ave
La Puente, CA 91746-3211 - Phone
- (626) 961-8971
- NPI assigned
- Mar 22, 2019
- Reactivated
- Oct 4, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | WAIVER | CA | Primary |
Addresses
Primary practice location
160 S 7TH Ave
La Puente, CA 91746-3211
Mailing address
140 S Sunkist St Apt 22
Anaheim, CA 92806-3647
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WAIVER | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1336609528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S SUNKIST ST APT 22",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928063647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S 7TH AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917463211",
"telephone_number": "626-961-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ JIMENEZ",
"first_name": "IRMA",
"middle_name": "LUCIA",
"name_prefix": "Dr.",
"credential": "PSY.D, M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"deactivation_date": "2022-09-23",
"reactivation_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "WAIVER",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.