MISS JESSICA MARIE JIMENEZ (NPI# 1306197819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306197819 |
| Entity Type | Individual |
| Full Name | MISS JESSICA MARIE JIMENEZ |
| Credential | PA-C |
| Practice Address |
1550 Superior Ave Costa Mesa CA 92627-3653 |
| Practice Telephone | 9492702100 |
| Practice Fax Number | 9496504458 |
| Mailing Telephone | 9492702100 |
| Mailing Fax Number | 9496504458 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22326 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA2012-0041 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956387 | Jessica Margarita Jimenez | Social Worker | 2206 San Anseline Ave Apt 7, Long Beach, CA 90815-2133 | 2020-09-15 |
| 1265067235 | Jessica Corin Jimenez | Physical Therapist | 10099 Seminole Blvd Ste A5, Seminole, FL 33772-2540 | 2020-03-10 |
| 1235762857 | Jessica Jimenez | Social Worker | 2855 N Speer Blvd Ste D, Denver, CO 80211-4240 | 2020-02-21 |
| 1518399765 | Jessica F Jimenez | Specialist | 445 W 240th St Apt 3n, Bronx, NY 10463-2148 | 2013-07-30 |
| 1477880656 | Jessica Simon Jimenez | Physical Therapist | 753 Odd Fellows Rd Unit H-1, Crowley, LA 70526-2200 | 2009-11-10 |
| 1285256180 | Jessica Jimenez | Specialist/Technologist | 3400 Coral Way Ste 202, Miami, FL 33145-3053 | 2020-05-13 |
| 1477181378 | Jessica Jimenez | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-03-28 |
| 1629601323 | Jessica Jimenez | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-02-20 |
| 1790325249 | Jessica Jimenez | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-01-13 |
| 1659928133 | Jessica Jimenez | Nurse Practitioner | 600 Hospital Dr, Monroe, NC 28112-6000 | 2019-08-20 |
| Street Address |
1550 SUPERIOR AVE |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982660452 | Duc The Vu | Dentist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2006-04-25 |
| 1821612128 | Share Our Selves Corporation | Clinic/Center | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2020-06-02 |
| 1144717778 | Share Our Selves Corporation | Pharmacy | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-19 |
| 1548757271 | Nancy Dao | Pharmacist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-18 |
| 1720590003 | Stephanie Tran | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2017-10-26 |
| 1154849842 | Vy Kieu | Nurse Practitioner | 1550 Superior Ave, Costa Mesa, CA 92627 | 2017-09-02 |
| 1336505312 | Rocio Magdalena Bender | Pharmacist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2016-01-06 |
| 1063894988 | Christina Thi Nguyen | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2015-06-27 |
| 1912315680 | Hesper Tsai | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-07-25 |
| 1568876209 | Nicole Ganci | Licensed Vocational Nurse | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180505 | Amy Elizabeth Hartwell | Physician Assistant | 1869 Elba Cir, Costa Mesa, CA 92626-4708 | 2019-12-06 |
| 1124679808 | Roxanna Moridzadeh | Physician Assistant | 1190 W. Baker Street Ste 100, Costa Mesa, CA 92626-4105 | 2019-09-24 |
| 1053884916 | Meagan Alexandra Allard | Physician Assistant | 655 Baker St Apt D206, Costa Mesa, CA 92626-4476 | 2019-01-03 |
| 1194216648 | Claire Josephson | Physician Assistant | 1637 Irvine Ave Apt F, Costa Mesa, CA 92627-3274 | 2018-05-21 |
| 1255432639 | Christina Miranda | Physician Assistant | 700 W 19th St, Costa Mesa, CA 92627-3517 | 2006-09-26 |
| 1932732617 | Kristelle Crane | Physician Assistant | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2020-02-20 |
| 1649744665 | Alexander Mule | Physician Assistant | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2019-01-12 |
| 1720590003 | Stephanie Tran | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2017-10-26 |
| 1881105179 | Dennis Michael Cramer | Physician Assistant | 3150 Bristol St Ste 400, Costa Mesa, CA 92626-3054 | 2017-10-13 |
| 1881139228 | Nicholas Huey | Physician Assistant | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | 2016-12-20 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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| 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.