Individual provider Active NPI

Francisco Thomas Jimeno, PT

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1972773067
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34548 Issued in CA
Practice address
1714 17TH St
Santa Monica, CA 90404-4410
Phone
(310) 392-7889
Fax
(310) 314-4431
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34548 CA Primary

Addresses

Primary practice location

1714 17TH St
Santa Monica, CA 90404-4410

Mailing address

1714 17TH St
Santa Monica, CA 90404-4410
Phone (310) 392-7889

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34548CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blake Physical Therapy, PC Physical Therapist PastSince Dec 16, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1972773067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 17TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044410",
            "telephone_number": "310-392-7889",
            "fax_number": "310-314-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 17TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044410",
            "telephone_number": "310-392-7889",
            "fax_number": "310-314-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENO",
        "first_name": "FRANCISCO",
        "middle_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.