Jimenez Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M8739 Issued in TX

Legal business name

JIMENEZ PEDIATRICS

Practice address

4634 S Closner Blvd
Edinburg, TX 78539-7279

Phone

(361) 688-5594

Fax

(956) 702-2455

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Lee Jimenez, M.D.NPI 1831368943

Title

President

Phone

(361) 688-5594

Specialties & licenses 1

Addresses

Other identifiers 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

Jimenez Pediatrics2 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.

• Jimenez Pediatrics

  • Pediatrics Physician
  • Edinburg, TX
  • NPI 1851641187
  NPD tax ID

Locations

Practitioners 2

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

• David Lee Jimenez, MD

  • Pediatrics Physician
  • Edinburg, TX
  • NPI 1831368943
  NPD (past) Authorized official
• Nancy E. Santillan Jimenez, NP-C

  • Family Nurse Practitioner
  • Edinburg, TX
  • NPI 1316259591
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1457656647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397279",
            "telephone_number": "361-688-5594",
            "fax_number": "956-702-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397279",
            "telephone_number": "361-688-5594",
            "fax_number": "956-702-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-688-5594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M8739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING FOR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette & Cameron, LLC
• Michael T. Jelinek, M.D.
• Raena Jennings, PA-C
• Mohammed Waleed Jeraq, M.D
• Jhonsdtc Inc
• Jimenez Pediatrics
• David Lee Jimenez, MD
• Gonzalo Jimenez, LCSW
• Michelle Ann Ibarra Jimenez, M.D.
• Betty John

• Pediatrics Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.