Individual provider Active NPI

Luis Enrique Jimenez Garcia, MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1437771094
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A183510 Issued in CA
Practice address
6485 Day St Ste 201
Riverside, CA 92507-0926
Phone
(951) 697-4549
NPI assigned
May 17, 2020
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A183510 CA Primary

Addresses

Primary practice location

6485 Day St Ste 201
Riverside, CA 92507-0926

Mailing address

34131 Date Palm Dr Ste F2
Cathedral City, CA 92234-6884
Phone (760) 770-4600

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128002526 CA Practitioner - Family Practice 6608224852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center PastSince May 1, 2020 Accepting new patients
Rogelio Drenning-Manrriquez PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1437771094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34131 DATE PALM DR STE F2",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346884",
            "telephone_number": "760-770-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070926",
            "telephone_number": "951-697-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ GARCIA",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-17",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A183510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.