Daniel Jimenez, MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G75231 Issued in CA

Legal business name

DANIEL JIMENEZ, MD, INC

Practice address

801 N Tustin Ave
Ste 601
Santa Ana, CA 92705-3610

Phone

(714) 565-1077

Fax

(714) 565-1086

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Jimenez, MDNPI 1255466801

Title

President/Owner

Phone

(714) 565-1077

Specialties & licenses 1

Addresses

Other names 1

• Jimenez Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Daniel Jimenez MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daniel Jimenez M.D., Inc.

  • Health Service Clinic/Center
  • Santa Ana, CA
  • NPI 1104514942
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Jimenez, MD

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1255466801
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1639192057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 601",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053610",
            "telephone_number": "714-565-1077",
            "fax_number": "714-565-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "STE 601",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053610",
            "telephone_number": "714-565-1077",
            "fax_number": "714-565-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL JIMENEZ, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-565-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimenez Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nam Phuong Dang
• Sophia Thy Dang, PA-C
• Daniel C Huang, DDS, Inc
• Daniel Capen, M.D., a Professional Corporation
• Daniel Jimenez M.D., Inc.
• Daniel S Reich MD Inc
• Jennifer Daniels
• Jenny Caroline Danielsson
• Rose Marie Danieri, LCSW
• Emily Elizabeth Danley

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.