JUAN CARLOS JIMENEZ (NPI# 1982643318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982643318 |
| Entity Type | Individual |
| Full Name | JUAN CARLOS JIMENEZ |
| Credential | MD |
| Practice Address |
200 Ucla Medical Plz Ste 526 Los Angeles CA 90095-0001 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3102066294 |
| Practice Fax Number | 3107949603 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A75166 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A751660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341337 | Juan Miguel Jimenez | Counselor | 713 Nw 139th St, Edmond, OK 73013-1912 | 2020-09-22 |
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1376199760 | Juan M Jimenez | Assistant Behavior Analyst | 529 W 6th St, Port Angeles, WA 98362-5805 | 2019-08-13 |
| 1073836623 | Juan Antonio Jimenez | Urology | 18099 Lorain Ave Ste 141, Cleveland, OH 44111-5611 | 2010-03-10 |
| 1144414665 | Juan Ramon Jimenez | Anesthesiology | Carr 2 Km 129.3, Bo Victoria, Aguadilla, PR 00603 | 2007-08-28 |
| 1205046802 | Juan R Jimenez | Occupational Therapy Assistant | 75-59 263 Street, Glen Oaks, NY 11421 | 2007-05-23 |
| 1134245137 | Juan Francisco Jimenez | Acupuncturist | 4505 West Flagler Street, Suite 101, Miami, FL 33134 | 2007-03-21 |
| 1861400715 | Juan R Jimenez | Pediatrics | 48 Calle Henna, Urb El Cibao, Cobo Rojo, PR 00623 | 2006-08-04 |
| 1750340691 | Juan B Jimenez | Pediatrics | 15 Munoz Rivera St, Lares, PR 00669 | 2006-03-20 |
| 1659352631 | Juan Jimenez | Internal Medicine | 452 Ave Hostos, Urb El Vedado, San Juan, PR 00918-3015 | 2005-11-08 |
| Street Address |
200 UCLA MEDICAL PLZ STE 526 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487065777 | Scott Robert Boynton | Podiatrist | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-6628 | 2014-05-08 |
| 1013231091 | Jane Kim Yang | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-1138 | 2010-03-20 |
| 1326270877 | Shanna L Freeman | Nurse Practitioner | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-8344 | 2009-08-18 |
| 1275788689 | Jessica Beth O'connell | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-8344 | 2008-11-26 |
| 1285889923 | Karen Woo | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-5310 | 2008-11-21 |
| 1952572737 | Sharon Chee-wah Kiang | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-8344 | 2008-03-19 |
| 1033303524 | Justin M Galovich | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-1710 | 2007-08-28 |
| 1730190323 | Peter F Lawrence | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-8344 | 2006-08-10 |
| 1538183785 | William J Quinones-baldrich | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-6958 | 2006-07-27 |
| 1053335133 | Wesley S Moore | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-6908 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1376905802 | Southern California Vascular Group, Inc | Surgery | 1530 Camden Ave Ste 403, Los Angeles, CA 90025-8010 | 2016-03-23 |
| 1407246408 | Richard Guest Md, A Professional Medical Corporation | Surgery | 15478 Duomo Via St, Los Angeles, CA 90077-1515 | 2015-01-28 |
| 1972948370 | Tri Star Orthopaedics | Surgery | 440 Shatto Pl # 419, Los Angeles, CA 90020-1793 | 2013-04-30 |
| 1831335363 | T J Fitzgibbons Md Inc | Surgery | 1245 Wilshire Blvd Ste 905, Los Angeles, CA 90017-4809 | 2009-01-06 |
| 1952553711 | Pablo Nankin | Surgery | 1125 S. Beverly Drive, Los Angeles, CA 90035 | 2008-10-10 |
| 1124210018 | Spencer Leland Brown | Surgery | 2080 Century Park E Ste 1807, Los Angeles, CA 90067-2021 | 2007-08-14 |
| 1518170240 | Wilbur Williams Jr. | Surgery | 1830 West Olympic Blvd, Suite 203, Los Angeles, CA 90006-3734 | 2007-05-08 |
| 1306968664 | Arthur Leonard Golding | Surgery | 1781 Old Ranch Rd, Los Angeles, CA 90049-2507 | 2007-04-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on JUAN CARLOS JIMENEZ.
| 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.