Active NPI
Elizabeth Christine Jimenez, PA-C
- Physician Assistant
- Camarillo, CA
National Provider Identifier
1730482183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51547
- Practice address
- 2485 Ventura Blvd
Camarillo, CA 93010-6650 - Phone
- (805) 364-0889
- Fax
- (805) 200-4434
- NPI assigned
- Dec 7, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51547 | CA | Primary |
Addresses
Primary practice location
2485 Ventura Blvd
Camarillo, CA 93010-6650
Mailing address
1361 W 9TH Ave Apt 1000
Escondido, CA 92029-2215
Phone (508) 410-4720
Other practice location 1
6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone (858) 859-1188
Other practice location 2
1361 W 9th Ave Apt 1000
Escondido, CA 92029-2215
Phone (508) 410-4720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400090521 | Other | MEDICARE PTAN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2518 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardiant Health | Current | Accepting new patients | |
| Guardiant Health PC | Past | Accepting new patients |
Locations
2485 Ventura Blvd
Camarillo, CA 93010
Phone (714) 453-7047
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
-
- Family Medicine Physician
- Camarillo, CA
- NPI 1386240034
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1932941341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1730482183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 W 9TH AVE APT 1000",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920292215",
"telephone_number": "508-410-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 VENTURA BLVD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930106650",
"telephone_number": "805-364-0889",
"fax_number": "805-200-4434"
}
],
"practiceLocations": [
{
"address_1": "6195 Lusk Blvd Ste 250",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213715",
"country_code": "US",
"telephone_number": "858-859-1188",
"fax_number": "844-404-8924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1361 W 9th Ave Apt 1000",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920292215",
"country_code": "US",
"telephone_number": "508-410-4720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ELIZABETH",
"middle_name": "CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D400090521",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.