Melanie Nicole Jimenez, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95020678 Issued in CA

Practice address

1844 Elmhurst Cir
Claremont, CA 91711-2958

Phone

(909) 992-9889

NPI assigned

Apr 13, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lipov Medical Group of Ca PCGroup PAC ID 8123504537, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Lipov Medical Group of Ca PC

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1497635221
  Medicare reassignment Care Compare group NPD
• Nima Fahimian MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1144879149
  NPD
• Jacob Moussai MD Inc

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1750622585
  NPD (past)
• Ketamine Clinics LLC

  dba Ketamine Clinics of Los Angeles

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1154894616
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1376285965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 ELMHURST CIR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112958",
            "telephone_number": "909-992-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 ELMHURST CIR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112958",
            "telephone_number": "909-992-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MELANIE",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kim, OD. a Professional Corporation (LUXE Optometry)
• Jennifer R. Boozer, D.O., Inc. (Granite Creek Family Medicine)
• Jennifer Sun, MD Inc.
• Gabriela L Jerez, LMFT
• Hua Jiang, MD
• Ann M Johannsen, OD
• John H. Mertens, D.D.S., Apc
• Carl A Johnson
• Stanley Price Johnston, ATC
• Mikaela Lugene Jolly, CF-SLP

• Psychiatric/Mental Health Nurse Practitioner in Claremont, CA
• Providers in Claremont, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.