Andres Jimenez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1401 L St
Bakersfield, CA 93301-4522

Phone

(661) 868-6139

NPI assigned

Mar 3, 2020

Sex

Male

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

Practice roles

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.

• Kern County Hispanic Commission on Alcohol and Drug Abuse Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bakersfield, CA
  • NPI 1821269382
  NPD (past)

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1962036681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 L ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014522",
            "telephone_number": "661-868-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 L ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014522",
            "telephone_number": "661-868-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 4th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Taft",
            "state": "CA",
            "postal_code": "932682433",
            "country_code": "US",
            "telephone_number": "661-745-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 L St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933014509",
            "country_code": "US",
            "telephone_number": "661-634-9877",
            "fax_number": "661-864-0198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim C. Kim, M.D., Inc
• Jim Malone DPM a Professional Corp
• Abdon Fernando Jimenez Almanza
• Sarah Anne Jimenez-Puente
• Alex Jimenez
• Annalize Jimenez
• Cage Tony Jimenez
• Cecilia Santos Jimenez, MD
• Cindy Beatrice Jimenez
• Daniel Jimenez

• Peer Specialist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.