Active NPI
Amie Llerena Jimenez, M.D.
- Emergency Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A110037
- Practice address
- 4800 Alberta Ave
Dept. of Emergency Medicine
El Paso, TX 79905-2709 - Phone
- (915) 545-7330
- NPI assigned
- Oct 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | BP10021595 | TX | |
| Emergency Medicine Physician | 207P00000X | A110037 | CA | Primary |
Addresses
Primary practice location
4800 Alberta Ave
Dept. of Emergency Medicine
El Paso, TX 79905-2709
Mailing address
1060 Marcine St
La Habra, CA 90631-3325
Phone (562) 209-2643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720267495 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, Geffen School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone (805) 543-5353
Hospital & facility affiliations
- Marian Regional Medical Center
- French Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10021595 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Az Corridor Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Garden Grove, CA
- NPI 1720034143
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1316152333
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1720267495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 MARCINE ST",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313325",
"telephone_number": "562-209-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"address_2": "DEPT. OF EMERGENCY MEDICINE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-545-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "AMIE",
"middle_name": "LLERENA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-30",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "BP10021595",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A110037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720267495",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.