Active NPI
Concepcion Jimenez, F.N.P.
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1396752689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN295493, NP8740
- Practice address
- 1800 Wilshire Blvd
Los Angeles, CA 90057-3602 - Phone
- (213) 484-9934
- Fax
- (213) 484-9939
- NPI assigned
- Aug 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN295493, NP8740 | CA | Primary |
| School Nurse Practitioner | 363LS0200X | RN295493, NP8740 | CA |
Addresses
Primary practice location
1800 Wilshire Blvd
Los Angeles, CA 90057-3602
Mailing address
1800 Wilshire Blvd
Paja Medical Group,Inc.
Los Angeles, CA 90057
Phone (213) 484-9934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN295493, NP8740 | Other | CA | FNP |
Other names 1
- Mrs. Concepcion Jimenez
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 |
|---|---|---|---|
| RN295493, NP8740 | CA | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1396752689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WILSHIRE BLVD",
"address_2": "PAJA MEDICAL GROUP,INC.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90057",
"telephone_number": "213-484-9934",
"fax_number": "213-484-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573602",
"telephone_number": "213-484-9934",
"fax_number": "213-484-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "CONCEPCION",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "RN295493, NP8740",
"primary": true
},
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "CA",
"license": "RN295493, NP8740",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "RN295493, NP8740",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONCEPCION",
"last_name": "JIMENEZ",
"prefix": "MRS.",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.