Active NPI
Marcelina Jaimes, NP
- Family Nurse Practitioner
- Hemet, CA
National Provider Identifier
1578027082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF95010182
- Practice address
- 1508 Palomar Mountain PL
Hemet, CA 92545-9240 - Phone
- (626) 236-3501
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | NPF95010182 | CA | Primary |
Addresses
Primary practice location
1508 Palomar Mountain PL
Hemet, CA 92545-9240
Mailing address
1508 Palomar Mountain PL
Hemet, CA 92545-9240
Phone (626) 236-3501
Other names 1
- Marcelina Chavez Jaimes
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95010182 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaimes & Co. Healthcare Services | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Hemet, CA
- NPI 1750033221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1578027082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 PALOMAR MOUNTAIN PL",
"city": "HEMET",
"state": "CA",
"postal_code": "925459240",
"telephone_number": "626-236-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 PALOMAR MOUNTAIN PL",
"city": "HEMET",
"state": "CA",
"postal_code": "925459240",
"telephone_number": "626-236-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIMES",
"first_name": "MARCELINA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NPF95010182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCELINA",
"last_name": "CHAVEZ JAIMES",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.