Pamela Jimenez

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1260 N Dutton Ave Ste 105
Santa Rosa, CA 95401-7121

Phone

(707) 568-2300

Fax

(707) 568-2304

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lifeworks of Sonoma County

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1063557171
  NPD
• Lifeworks of Sonoma County

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1619295839
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1477139285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE STE 220",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014686",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE STE 105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017121",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jiang
• Jill Applegate Marriage and Family Therapy, Inc.
• Mariana Jimenez Hernandez
• Carolina Jimenez, NP
• Douglas Jimenez, M.D.
• Emily Nicole Jirel
• Lynne W Joachim, MFT
• Joanne Ngo & Tina Ngo, DDS, Inc.
• Linda Job
• Jacqueline Johansen

• Rehabilitation Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.