Individual provider Active NPI

Paola Jimenez

  • Behavior Technician
  • Gilroy, CA
National Provider Identifier
1619522885
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9360 N Name Uno Ste 130
Gilroy, CA 95020-3535
Phone
(408) 843-9350
NPI assigned
Aug 5, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

9360 N Name Uno Ste 130
Gilroy, CA 95020-3535

Mailing address

9360 N Name Uno Ste 130
Gilroy, CA 95020-3535
Phone (408) 843-9350

Other practice location 1

13945 Center Ave
San Martin, CA 95046-9738
Phone (408) 722-6439

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1619522885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 N NAME UNO STE 130",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203535",
            "telephone_number": "408-843-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 N NAME UNO STE 130",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203535",
            "telephone_number": "408-843-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13945 Center Ave",
            "address_purpose": "LOCATION",
            "city": "San Martin",
            "state": "CA",
            "postal_code": "950469738",
            "country_code": "US",
            "telephone_number": "408-722-6439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "PAOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.