Elaine Jimenez-Obeso

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11619 Issued in CA

Practice address

1047 R St
Fresno, CA 93721-1312

Phone

(559) 499-1690

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elaine Marie Jimenez-Obeso Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Fresno County Eoc Health Services Clinic

  • Ambulatory Family Planning Facility
  • Fresno, CA
  • NPI 1164403044
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1811031958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211312",
            "telephone_number": "559-499-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-OBESO",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "11619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "JIMENEZ-OBESO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jim Phanucharas, M.D., Inc.
• Lucia Jimenez - Leyva
• Delmira Elizabeth Jimenez Angeles
• Jimenez Physical Therapy, Inc
• Alejandra Jimenez Velasco
• Mario Jimenez-Padilla, MSOP, CP
• Dalila Jimenez-Trejo, LMFT
• Adam Jimenez
• Alejandra Jimenez
• Alexsis Mika Jimenez

• Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.