OCTAVIO F JIMENEZ (NPI# 1720382716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720382716 |
| Entity Type | Individual |
| Full Name | OCTAVIO F JIMENEZ |
| Practice Address |
500 N 9th St Suite B Modesto CA 95350-5814 |
| Mailing Address |
706 Jeffrey Rd Los Banos CA 93635-3816 |
| Practice Telephone | 2093411824 |
| Mailing Telephone | 2096753899 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
500 N 9TH ST SUITE B |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610145 | Lori Norwood Jr. | Case Manager/Care Coordinator | 500 N 9th St, Modesto, CA 95350-5814 | 2007-01-02 |
| 1841807682 | Connie Chavarria | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2020-09-25 |
| 1831748565 | Jessica Acevedo | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-09-05 |
| 1487210605 | Lynnsey La Rae Howardcolossio | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-05-13 |
| 1316500630 | Lynda Cambra | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
| 1801459151 | Richard Kevin Lonsinger Jr. | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
| 1376080382 | Della Garcia | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Modesto, CA 95350-5814 | 2017-01-28 |
| 1124565403 | Tyrone Thompson | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-25 |
| 1114463957 | Joshua Merrill | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-18 |
| 1124576848 | Maria Scola | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845357 | Anthony Rodriguez Contreras | Counselor | 2360 Scenic Dr, Modesto, CA 95355-4505 | 2020-03-06 |
| 1821567645 | Aricka Ream | Counselor | 1704 Groveton Way, Modesto, CA 95355-1904 | 2018-11-21 |
| 1831668466 | Palepa Iulio | Counselor | 3005 Cannon Way Apt A, Modesto, CA 95354-2155 | 2018-11-13 |
| 1104364801 | Catherine Mae Linville | Counselor | 1030 15th St, Modesto, CA 95354-1102 | 2017-02-02 |
| 1417492182 | Chaqulia Anita Ramirez | Counselor | 2020 Standiford Ave # Suitef3, Modesto, CA 95350-6529 | 2017-01-04 |
| 1588061337 | Ashley Boyd | Counselor | 1336 Stonum Rd, Modesto, CA 95351-5121 | 2014-11-21 |
| 1720482136 | Shari Johnson | Counselor | 1517 Panthers Ln, Modesto, CA 95355-9303 | 2014-10-14 |
| 1407126469 | Tommy Phoukhaothong Panyanouvong | Counselor | 1300 Payne Ave, Modesto, CA 95351-4821 | 2012-01-09 |
| 1740579424 | Milissa Ann Catherine-plett | Counselor | 108 Bonita Cir, Modesto, CA 95354-1410 | 2011-04-01 |
| 1205144318 | Brianna Decoteau | Counselor | 916 Mchenry, Modesto, CA 95350 | 2010-09-23 |
| Find all providers in MODESTO | ||||
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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.