Active NPI
Jair Pimentel
- Family Psychologist
- Lancaster, CA
National Provider Identifier
1548949605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Practice address
- 2545 E Avenue I SPC 3
Lancaster, CA 93535-1005 - Phone
- (661) 974-2192
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | Primary |
Addresses
Primary practice location
2545 E Avenue I SPC 3
Lancaster, CA 93535-1005
Mailing address
16500 Ventura Blvd Ste 414
Encino, CA 91436-5050
Phone (818) 788-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1548949605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD STE 414",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365050",
"telephone_number": "818-788-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 E AVENUE I SPC 3",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935351005",
"telephone_number": "661-974-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "JAIR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.