Active NPI
Alfredo Jimenez
- Physical Therapy Assistant
- Rancho Santa Margarita, CA
National Provider Identifier
1639048010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 54466
- Practice address
- 23121 Antonio Pkwy Ste 100&A105
Rancho Santa Margarita, CA 92688-2658 - Phone
- (949) 713-6445
- NPI assigned
- Nov 3, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 54466 | CA | Primary |
Addresses
Primary practice location
23121 Antonio Pkwy Ste 100&A105
Rancho Santa Margarita, CA 92688-2658
Mailing address
8307 Pintado
Irvine, CA 92618-0234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54466 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1639048010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8307 PINTADO",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23121 ANTONIO PKWY STE 100&A105",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882658",
"telephone_number": "949-713-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ALFREDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "54466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Santa Margarita, CA
- Jamie H. Tran, DMD, MSD, Inc.
- Jeanne Nguyen, DDS, Inc. (Santa Margarita Pediatric Dentistry)
- Jeff Wong, DDS, Inc (Rancho Orthodontics)
- Katie Lynne Jeko
- George Anthony Jelaco
- JL Mobile Phlebotomy LLC (JenniferLujan)
- Christina Marie Johnson, SLP
- David A Johnson, D.C.
- Monique T Johnson, PHARM.D.
- Jordan Pham Dental Corporation (Jordan & Pham Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.