Individual provider Active NPI

Aida Elizabeth Jimenez-Lopez, FNP

  • Family Nurse Practitioner
  • Covina, CA
National Provider Identifier
1831705623
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015684 Issued in CA
Practice address
420 W Rowland St
Covina, CA 91723-2933
Phone
(626) 331-6411
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015684 CA Primary

Addresses

Primary practice location

420 W Rowland St
Covina, CA 91723-2933

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

1240 N Hacienda Blvd Ste 101
LA Puente, CA 91744-1663
Phone (626) 850-5005

Other practice location 2

1343 N Grand Ave Ste 200
Covina, CA 91724-4043
Phone (800) 953-5955

Other practice location 3

15040 Valley Blvd Spc 31
LA Puente, CA 91746-3321
Phone (626) 665-7978

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS HEALTH SERVICES OF CALIFORNIA INC

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
I20220519002452 CA Practitioner - Nurse Practitioner 5193102754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411

552 W Foothill Blvd
Suite 100
Glendora, CA 91741-2470
Phone (626) 335-4079

750 N Diamond Bar Blvd
Suite 100
Diamond Bar, CA 91765-1023
Phone (626) 331-6411

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

PO Box
Suite 35380
Las Vegas, NV 89133-5380

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 17, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 17, 2023 Accepting new patients
Los Ninos Children Medical Clinic Inc. PastSince Nov 1, 2020 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aida.jimenezlopez.p68@direct.healthcarepartners.nextgenshare.com
  • Direct secure messaging: ajimenezlopez205452@westdirect.optum.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1831705623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232933",
            "telephone_number": "626-331-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 N Hacienda Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441663",
            "country_code": "US",
            "telephone_number": "626-850-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917244043",
            "country_code": "US",
            "telephone_number": "800-953-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15040 Valley Blvd Spc 31",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917463321",
            "country_code": "US",
            "telephone_number": "626-665-7978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ-LOPEZ",
        "first_name": "AIDA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS HEALTH SERVICES OF CALIFORNIA INC",
            "address_1": "1343 N Grand Ave Ste 200",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917244043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.