Active NPI
Staphany Jimenez
- Occupational Therapist
- Davis, CA
National Provider Identifier
1629552013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT27267
- Practice address
- 1111 Alvarado Ave
Davis, CA 95616-5521 - Phone
- (530) 756-0700
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT27267 | CA | Primary |
Addresses
Primary practice location
1111 Alvarado Ave
Davis, CA 95616-5521
Mailing address
2745 Orchard LN Apt 13206
Sacramento, CA 95833-3961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1909 Belgium Dr
Plano, TX 75025-3129
5800 Granite Pkwy
Suite 325
Plano, TX 75024-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ed Support Services | Behavior Analyst | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1629552013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2745 ORCHARD LN APT 13206",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958333961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ALVARADO AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165521",
"telephone_number": "530-756-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "STAPHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT27267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.