Alberto Jimeno, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A30730 Issued in CA

Practice address

6061 Whittier Blvd
Los Angeles, CA 90022-4428

Phone

(562) 725-1795

Fax

(323) 725-0333

NPI assigned

Oct 5, 2006

Last updated

Jul 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1629164900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224428",
            "telephone_number": "562-725-1795",
            "fax_number": "323-725-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224428",
            "telephone_number": "562-725-1795",
            "fax_number": "323-725-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENO",
        "first_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A307300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Felipe Jimenez, P.A.C.
• Victoria Jimenez
• Viviana Jimenez, MD, MPH
• Wendy I Jimenez
• Yesenia Jimenez
• Autumn Joy Jimerson, LMFT
• Jimmy Bae Chiropractic Corporation (Harvard la Chiropractic Group)
• Jimmy L Ezell Medical Corp
• Jimmy Slamat, D.D.S., a Professional Corporation
• Jimmy T. Uy, M.D., Inc.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.