Carlos Alberto Jimenez, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

PA9100035 Issued in FL

Practice address

251 Maitland Ave Ste 104
Altamonte Springs, FL 32701-4913

Phone

(407) 557-2165

NPI assigned

Jan 18, 2007

Last updated

May 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devyani Belsare MD LLC

  dba Orange Pediatrics

  • Pediatrics Physician
  • Longwood, FL
  • NPI 1740592377
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1851443725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-419-0688",
            "fax_number": "863-419-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAITLAND AVE STE 104",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014913",
            "telephone_number": "407-557-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378990",
            "country_code": "US",
            "telephone_number": "863-419-0688",
            "fax_number": "863-419-9547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "PA9100035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290861100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome a Africk M D P a
• Jerri L. Johnson, M.D., P.a.
• Jessicadavisceo, LLC (Passionate Champion)
• Yuchen Jiang, MD
• Tanya Rita Jilkevorkian
• Melissa Jimenez
• Jimmy L. Wilson, Inc (Veterans Acupuncture Center)
• Warit Jithpratuck, MD
• Shelina Jiwani
• Jo Annette Salas OD LLC

• Pediatrics Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.