Vivianna Jimenez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW126203 Issued in CA

Practice address

5101 Market St
San Diego, CA 92114-2219

Phone

(858) 351-6000

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1942794946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153683",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921953683",
            "telephone_number": "408-444-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MARKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921142219",
            "telephone_number": "858-351-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Virginia St Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951125865",
            "country_code": "US",
            "telephone_number": "408-918-2618",
            "fax_number": "408-579-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "VIVIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "ASW126203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Jimenez, SLP
• Ulysses Rommel Jimenez, DPT
• Valerie Jimenez
• Vanessa Linda Jimenez
• Vivian Guadalupe Jimenez
• Brieanna Jimmi
• Nichole Jimmi
• Jimmy I. Wang, DDS, a Professional Corporation (Dentistry at 4S Ranch)
• Ara Jin, NP
• Christopher Jin, MD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.