Organization Active NPI

Jimmy Jimenez Chiropractic Inc

Doing business as San Pedro Health and Chiropractic

  • Chiropractor
  • San Pedro, CA
National Provider Identifier
1710456926
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JIMMY JIMENEZ CHIROPRACTIC INC
Doing business as
San Pedro Health and Chiropractic
Practice address
1351 W 6TH St
San Pedro, CA 90732-3515
Phone
(424) 732-3012
Fax
(424) 232-8502
NPI assigned
Nov 16, 2018
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Jimmy Jimenez, DCNPI 1750730081
Title
Chiropractor
Phone
(424) 732-3012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1351 W 6TH St
San Pedro, CA 90732-3515

Mailing address

1351 W 6TH St
San Pedro, CA 90732-3515
Phone (424) 732-3012

Other names 1

  • San Pedro Health and Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1351 W 6th St
San Pedro, CA 90732
Phone (424) 426-3386

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1710456926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323515",
            "telephone_number": "424-732-3012",
            "fax_number": "424-232-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323515",
            "telephone_number": "424-732-3012",
            "fax_number": "424-232-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY JIMENEZ CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "424-732-3012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Health and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.