Nancy Jimenez, LMFT
Individual provider Active NPI Marriage & Family Therapist · Chula Vista, CA
NPI 1568023596 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1568023596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 141209 (CA)
- Practice address
- 430 F St
Chula Vista, CA 91910-3711 - Phone
- (619) 420-3620
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123003090 | CA | Practitioner - Marriage and Family Therapist | 1355793571 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113166 | CA | MD | Marriage & Family Therapist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current |
Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current |
Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
1666 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 428-5533
1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 113166 | CA | |
| Marriage & Family Therapist | 106H00000X | 141209 | CA | Yes |
Addresses
Primary practice location
430 F St
Chula Vista, CA 91910-3711
Mailing address
430 F St
Chula Vista, CA 91910-3711
Phone (619) 576-1066
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | njimenez@csbcs.org | ||
| Direct Messaging Address | njimenez@csbcs.org |
Other providers in Chula Vista, CA
- Carlos Jimenez
- Indira M Jimenez
- Krystal Alicia Jimenez
- Lidia Jimenez
- Michael S Jimenez
- Norma Alicia Jimenez
- Marielle Jenavive Jingco
- Yeongji Jo
- Jefrille Torres Jocosing
- John a Grimaldi DO Inc
All providers in Chula Vista, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.