Maya Lilith Jimenez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

833 E McFadden Ave
Santa Ana, CA 92707-1428

Phone

(714) 579-9888

NPI assigned

Sep 28, 2023

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1356120364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E MCFADDEN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927071428",
            "telephone_number": "714-579-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E MCFADDEN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927071428",
            "telephone_number": "714-579-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MAYA",
        "middle_name": "LILITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Sebastian Jimenez
• Jailene Jimenez, RD
• Josefina Jimenez
• Lesley Katherine Jimenez
• Lynn Jimenez, MSW, PPS
• Nancy Jimenez
• Rebecca Jimenez
• Stephanie Jimenez
• Enjing Jin
• Ji-Guang Jin, MD

• Community Health Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.