Abigail Jimenez

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

742997 Issued in CA

Practice address

2122 S El Camino Real
Oceanside, CA 92054-6208

Phone

(760) 290-8170

NPI assigned

Sep 24, 2024

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

State licenses

Practice roles

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.

• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • Oceanside, CA
  • NPI 1174746838
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700
  NPD (past)

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1457178196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 S EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546208",
            "telephone_number": "760-290-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 S EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546208",
            "telephone_number": "760-290-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Cassidy St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545314",
            "country_code": "US",
            "telephone_number": "760-721-2171",
            "fax_number": "760-721-8582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "742997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Walker DMD Corporation
• Myah Denae Jerido
• Jaclyn Jerse, MOT, OTR/L
• Mark Stanley Jesinoski, PHD
• Amy Brooks Jessel, DDS
• Jasmine Jimenez
• Olivia Desiree Jimenez
• Robert Jimenez
• Vanessa M Jimenez, RAC
• JMS Medical, Inc.

• Licensed Vocational Nurse in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.