Individual provider Active NPI

Gladys Jimenez

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1801754353
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95037876 Issued in CA
Practice address
2039 Camden Ave
San Jose, CA 95124-2024
Phone
(408) 854-5566
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95037876 CA Primary

Addresses

Primary practice location

2039 Camden Ave
San Jose, CA 95124-2024

Mailing address

2039 Camden Ave
San Jose, CA 95124-2024
Phone (408) 854-5566

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128002688 CA Practitioner - Nurse Practitioner 2163900531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

Practice addresses (Care Compare)

2039 Camden Ave
San Jose, CA 95124-2024
Phone (408) 854-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95037876CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of California Inc CurrentSince Jan 15, 2026 Accepting new patients
Permanente Medical Group, Inc Past Accepting new patients

Locations

750 Redwood Hwy Frontage Rd
Ste 1206
Mill Valley, CA 94941
Phone (415) 444-2020

2039 Camden Ave
San Jose, CA 95124
Phone (408) 854-5566

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

1220 W Steele Ln
Santa Rosa, CA 95403
Phone (628) 284-0220

717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1801754353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 CAMDEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242024",
            "telephone_number": "408-854-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 CAMDEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242024",
            "telephone_number": "408-854-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "GLADYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95037876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.