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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MED JIMSON DAGUISON JIMENEZ MD, MS
NPI 1003601790
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 12, 2025PECOS Enrolled
200 W ARBOR DR # MC8465, SAN DIEGO, CA 92103(858) 657-8540 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2026, Apr 12, 2025 (2 updates tracked since 2025).

About Dr. Med Jimson Daguison Jimenez Md, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MED JIMSON DAGUISON JIMENEZ MD, MS (NPI 1003601790) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003601790
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MED JIMSON DAGUISON JIMENEZCredential: MD, MS
Location Address200 W ARBOR DR # MC8465San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8465San Diego, CA 92103-1911
Phone(858) 657-8540
Sole ProprietorNo
Enumeration DateApril 12, 2025
Last NPPES UpdateJuly 19, 20262 updates tracked since enumeration
NPPES CertifiedJuly 19, 2026
✔ NPI 1003601790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR # MC8465, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Med Jimson Daguison Jimenez Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARI GORDIN
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-5300
DOMINIC TRAN
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-6266
EVAN RYO YAU SUM LUM
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-6266
JEFFREY LU MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (408) 717-3010
SANG MIN LEE
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-6266
JANET TANG
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-6266
ELITA DELBRUCK MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-6266
NICHOLAS BALTAR
Psychiatry & Neurology (Neurology)
200 W ARBOR DR # MC8465
SAN DIEGO, CA 92103
San Diego County (619) 543-6266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med Jimson Jimenez's NPI number?

The NPI number for Med Jimson Jimenez is 1003601790. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Where is Med Jimson Jimenez located?

Med Jimson Jimenez practices at 200 W Arbor Dr # Mc8465, San Diego, CA 92103. The listed phone number is (858) 657-8540.

What is Med Jimson Jimenez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Med Jimson Jimenez enrolled in Medicare?

Yes. Med Jimson Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Med Jimson Jimenez was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.