ELISA KAHTERINE JIMENEZ (NPI# 1578695284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578695284 |
| Entity Type | Individual |
| Full Name | ELISA KAHTERINE JIMENEZ |
| Credential | PHD INTERN |
| Practice Address |
2217 Calle Parral West Covina CA 91792-2182 |
| Practice Telephone | 6264536234 |
| Mailing Telephone | 6264536234 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PBS 31430 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003226 | Elisa Jimenez | Counselor | 516 Chestnut St, Santa Cruz, CA 95060-3669 | 2019-10-03 |
| Street Address |
2217 CALLE PARRAL |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91792-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982935565 | California Mental Health Connection | Clinic/Center | 2217 Calle Parral, West Covina, CA 91792-2182 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160083 | Banaria Dental Group Inc | Dentist | 1550 E. Amar Road Suite V, West Covina, CA 91792 | 2019-05-23 |
| 1174040570 | John Paul Yee | Nurse Practitioner | 3700 Colorado St, West Covina, CA 91792 | 2017-08-25 |
| 1982062584 | Debra Robinson | Occupational Therapy Assistant | 2445 Arline Street, West Covina, CA 91792 | 2016-02-10 |
| 1427326503 | Ritzcare Health Services | Respite Care | 2707 E. Balley Blvd, Suite 307a, West Covina, CA 91792 | 2011-12-05 |
| 1164702478 | Arwin Kalaw | Nurse Practitioner | 1312 Oahu Street, West Covina, CA 91792 | 2011-08-18 |
| 1003110701 | Alexander Cariaga | Physical Therapy Assistant | 3532 Hedgerow Dr, West Covina, CA 91792 | 2011-01-10 |
| 1972831162 | Eternally Yours Hospice, Inc. | Hospice Care, Community Based | 2550 E. Amar Rd., Unit A1-g, West Covina, CA 91792 | 2009-11-26 |
| 1588830228 | Jun Li | Dentist | 2707 E. Valley Blvd., #301, West Covina, CA 91792 | 2008-05-02 |
| 1093991713 | Imelda Diaz Soto | Dentist | 1031 E Amar Rd, West Covina, CA 91792 | 2008-01-11 |
| 1588849608 | Sarah Jane Dancel-atendido | Dentist | 2707 E. Valley Blvd., Suite 200, West Covina, CA 91792 | 2008-01-08 |
| Find all providers in zip 91792 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682068 | Patricia Valdez | Psychologist | 1215 W West Covina Pkwy Ste 200, West Covina, CA 91790-2946 | 2007-03-28 |
| 1194748459 | Trudy Elizabeth Martin | Psychologist | 1515 West Cameron Avenue, Ste 200, West Covina, CA 91790-2734 | 2006-07-26 |
| 1033152434 | Pamela Theresa Mcfarland | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-06-14 |
| 1497949937 | Jennifer Mae Pruitt | Psychologist | 1215 W West Covina Pkwy, Suite 200, West Covina, CA 91790-2946 | 2007-08-28 |
| 1013113091 | Jack Boghosian | Psychologist | 1502 W West Covina Pkwy, West Covina, CA 91790-2703 | 2007-06-26 |
| 1033252283 | Misook Oh Nierodzik | Psychologist | 150 N Grand Ave Ste 212, West Covina, CA 91791-1757 | 2007-02-15 |
| 1770654949 | Sheilly Arora | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-11-10 |
| 1154344554 | Farshideh Fara Morshedian | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-07-26 |
| 1215957550 | Gregory Sean Kovacs | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-07-20 |
| 1174548242 | Kathy Lynn Parish | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-07-12 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91792 |
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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.