Active NPI
Andrew Reynaldo Jimenez
- Marriage & Family Therapist
- Westminster, CA
National Provider Identifier
1356057673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT152436
- Practice address
- 14140 Beach Blvd Ste 155
Westminster, CA 92683-4453 - Phone
- (714) 896-7556
- Fax
- (714) 896-7564
- NPI assigned
- Jan 30, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT152436 | CA | Primary |
Addresses
Primary practice location
14140 Beach Blvd Ste 155
Westminster, CA 92683-4453
Mailing address
14140 Beach Blvd Ste 155
Westminster, CA 92683-4453
Phone (714) 896-7556
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 |
|---|---|---|---|
| AMFT152436 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Santa Ana, CA
- NPI 1528197662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1356057673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD STE 155",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7556",
"fax_number": "714-896-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD STE 155",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7556",
"fax_number": "714-896-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ANDREW",
"middle_name": "REYNALDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-30",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT152436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.