Andrea Jimenez, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7323 University Ave
La Mesa, CA 91942-0555

Phone

(760) 703-6813

NPI assigned

Feb 20, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Helix Charter High School

  • Local Education Agency (LEA)
  • La Mesa, CA
  • NPI 1114891199

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1457945495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420555",
            "telephone_number": "760-703-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANDREA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry M Fabrikant DPM, Inc
• Jessamine T. Sunglao DDS Inc
• Jewel Physical Therapy and Wellness, Inc
• Zhao Jia
• Ying Jiang, L.AC.
• John Ruben Jimenez, LCSW
• Sarah Jimenez, MA
• John Kownacki MD a Medical Corporation
• John Qian M.D. Inc.
• John R Webb MD a Medical Corporation

• Athletic Trainer in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.