MR. JEDIAH PIMENTEL (NPI# 1144885518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144885518 |
| Entity Type | Individual |
| Full Name | MR. JEDIAH PIMENTEL |
| Practice Address |
801 Parkcenter Dr Ste 235 Santa Ana CA 92705-3588 |
| Practice Telephone | 7149487970 |
| Mailing Telephone | 7149487970 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
801 PARKCENTER DR STE 235 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891025862 | Lizbeth Eliana Rosas | Marriage & Family Therapist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2010-01-13 |
| 1124634134 | Krystal Anh Thy Nguyen | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-09-16 |
| 1962026591 | Fidencio Robles | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-05-29 |
| 1992326896 | Quinn Thien Tran | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-05-01 |
| 1134752116 | Marie-isabelle Canales | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-02-18 |
| 1356989636 | Tu Anh Hoang | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-12-17 |
| 1811534597 | Robert Mckinley Whetsel | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-12-02 |
| 1538701040 | Victor Manuel Magana | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-10-16 |
| 1568003515 | Rudyne Louise Minor | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-10-01 |
| 1326697780 | Yolanda M Hughes | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447956 | Mandy N/a Tran | Peer Specialist | 801 Parkcenter Dr Ste 203, Santa Ana, CA 92705-3526 | 2019-10-01 |
| 1124634134 | Krystal Anh Thy Nguyen | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-09-16 |
| 1962026591 | Fidencio Robles | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-05-29 |
| 1992326896 | Quinn Thien Tran | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-05-01 |
| 1134752116 | Marie-isabelle Canales | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2020-02-18 |
| 1023641131 | Elizabeth Cruz De Aikin | Peer Specialist | 2001 E 4th St Ste 200, Santa Ana, CA 92705-3916 | 2020-02-17 |
| 1356989636 | Tu Anh Hoang | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-12-17 |
| 1811534597 | Robert Mckinley Whetsel | Peer Specialist | 801 Parkcenter Dr Ste 235, Santa Ana, CA 92705-3588 | 2019-12-02 |
| 1114563632 | Jane Mirielle Alvarado | Peer Specialist | 2001 E 4th St Ste 200, Santa Ana, CA 92705-3916 | 2019-11-19 |
| 1710529227 | Eduardo Benitez Cruz | Peer Specialist | 801 Parkcenter Dr, Santa Ana, CA 92705-3526 | 2019-10-16 |
| Find all providers in SANTA ANA | ||||
Please comment or provide details below to improve the information on MR. JEDIAH PIMENTEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.