ANGELA JIMENEZ (NPI# 1790349124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790349124 |
| Entity Type | Individual |
| Full Name | ANGELA JIMENEZ |
| Credential | RSLD |
| Practice Address |
8831 Villa La Jolla Dr La Jolla CA 92037-1949 |
| Mailing Address |
11605 N Lamar Blvd Austin TX 78753-2658 |
| Practice Telephone | 8588884791 |
| Practice Fax Number | 8584516990 |
| Mailing Telephone | 7372226996 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
41441 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370842 | Angela Luceno Jimenez | Registered Nurse | 401 5th Ave Ste 1000, Seattle, WA 98104-1818 | 2017-11-22 |
| 1619268463 | Angela C Jimenez | Pediatrics | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2011-04-27 |
| Street Address |
8831 VILLA LA JOLLA DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194760199 | Garfield Beach Cvs LLC | Pharmacy | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2006-06-17 |
| 1720694235 | Anh Phuong Ta | Pharmacist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2020-09-20 |
| 1932722758 | Caroline Toledo Zimmet | Nurse Practitioner | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2020-05-27 |
| 1437784352 | Kaylene Noelle De Vries | Pharmacist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2020-03-11 |
| 1194363770 | Cortney Keckley | Nurse Practitioner | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-12-14 |
| 1699324954 | Cameron Gonzalez | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-09-10 |
| 1851940027 | Michael Ferrino | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-09-10 |
| 1881254126 | Anh Long Lam | Pharmacist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-06-18 |
| 1487219820 | Lisa Stoddart | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-05-01 |
| 1033774468 | Felix Lopez | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918037 | Cvs Aoc Corporation | Technician/Technologist | 8831 Villa La Jolla Dr # 9195, La Jolla, CA 92037-1949 | 2017-12-27 |
| 1154537066 | San Diego Optical | Technician/Technologist | 7701 Fay Ave, La Jolla, CA 92037-4310 | 2007-05-15 |
| 1699324954 | Cameron Gonzalez | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-09-10 |
| 1851940027 | Michael Ferrino | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-09-10 |
| 1487219820 | Lisa Stoddart | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-05-01 |
| 1033774468 | Felix Lopez | Technician/Technologist | 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949 | 2019-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
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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.