Active NPI
Sarah Jimenez, MA
- Behavior Analyst
- La Mesa, CA
National Provider Identifier
1952893455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35000
- Practice address
- 3981 Charles St
La Mesa, CA 91941-7516 - Phone
- (619) 400-9574
- NPI assigned
- May 31, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-19-35000 | Primary |
Addresses
Primary practice location
3981 Charles St
La Mesa, CA 91941-7516
Mailing address
130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Other practice location 1
3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436
Phone (858) 225-2346
Other names 1
- Sarah Latoski
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1952893455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CORRIDOR RD UNIT 3292",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320047833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3981 CHARLES ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417516",
"telephone_number": "619-400-9574"
}
],
"practiceLocations": [
{
"address_1": "3978 Sorrento Valley Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921211436",
"country_code": "US",
"telephone_number": "858-225-2346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "SARAH",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-35000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "LATOSKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.