Active NPI
Imelda Jimenez Osana, ASW
- Clinical Social Worker
- Gilroy, CA
National Provider Identifier
1881089977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 98923
- Practice address
- 290 Ioof Ave
Gilroy, CA 95020-5204 - Phone
- (408) 665-1305
- NPI assigned
- Apr 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 98923 | CA | Primary |
Addresses
Primary practice location
290 Ioof Ave
Gilroy, CA 95020-5204
Mailing address
290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 665-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RCS | Health Information Exchange (HIE) | Rebekah Childrens Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98923 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1881089977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204",
"telephone_number": "408-665-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204",
"telephone_number": "408-665-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSANA",
"first_name": "IMELDA",
"middle_name": "JIMENEZ",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "98923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RCS",
"affiliation": "Y",
"endpointDescription": "agency",
"affiliationName": "Rebekah Childrens Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "290 Ioof Ave",
"city": "Gilroy",
"state": "CA",
"country_code": "US",
"postal_code": "950205204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.