F Jimenez Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40305 Issued in CA

Legal business name

F JIMENEZ MEDICAL CORPORATION

Doing business as

Upland Medical Center

Practice address

360 E 7TH St Ste D
Upland, CA 91786-6701

Phone

(909) 920-9193

Fax

(909) 920-6019

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Jimenez Francisco A, M.D.

Title

Physician

Phone

(714) 357-1944

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upland Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

F Jimenez Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• F Jimenez Medical Corporation

  dba Upland Medical Center

  • Family Medicine Physician
  • Upland, CA
  • NPI 1023360807
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francisco A Jimenez, M.D.

  • Family Medicine Physician
  • Upland, CA
  • NPI 1972696573
  Medicare reassignment NPD
• Cory Ryan, PA

  • Physician Assistant
  • Upland, CA
  • NPI 1447809876
  NPD
• Bonnie J. Lance, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montebello, CA
  • NPI 1952400574
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1447700034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-920-9193",
            "fax_number": "909-920-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-920-9193",
            "fax_number": "909-920-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F JIMENEZ MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "A",
        "authorized_official_first_name": "JIMENEZ",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-357-1944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Patrick Ezeli
• F Jimenez Medical Corporation (Upland Medical Center)
• F&M Radiology Medical Center Inc (Upland Radiology)
• Cecilia Fabris, MFTI
• Facenbody Surgery Center, Inc
• Faculty Physicians and Surgeons of Llusm
• Faculty Physicians and Surgeons of Llusm

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.