Carlos E Jimenez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

586 Issued in NV

Practice address

1640 E Charleston Blvd
Las Vegas, NV 89104-1826

Phone

(702) 647-2583

Fax

(702) 647-2511

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carmen Espitia MD PCGroup PAC ID 6204993421, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Connolly Care Home health agency, Las Vegas, NV, CCN 297236

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carmen Espitia MD PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1598928806
  Medicare reassignment Care Compare group
• Desert Pines Family Health Center

  • Chiropractor
  • Las Vegas, NV
  • NPI 1497873475
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Connolly Enterprises LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1073025060
  Care Compare affiliation

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1689636987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041826",
            "telephone_number": "702-647-2583",
            "fax_number": "702-647-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041826",
            "telephone_number": "702-647-2583",
            "fax_number": "702-647-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CARLOS",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabel Marie Jimenez
• Antonio Jimenez, BA, RBT
• Apryl Phyllis Ceazar Jimenez, MD
• Ashleigh Nichole Jimenez
• Ayleen Jimenez
• Catalina Jimenez
• Claudia Jimenez
• Cristain Jimenez
• David Jimenez Jr.
• Diana Jimenez

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.
• 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.