MARLON JIMENO
NPI 1053005280
Nurse Practitioner - Family in Bakersfield, CA

Q: What is Marlon Jimeno's NPI number?

The NPI number for Marlon Jimeno is 1053005280. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Q: What is Marlon Jimeno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marlon Jimeno was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since June 08, 2023PECOS Enrolled

2901 SILLECT AVE STE 100, BAKERSFIELD, CA 93308(661) 323-8384(661) 323-9326 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2025, Jun 8, 2023 (2 updates tracked since 2023).

On this page

About Marlon Jimeno NPPES

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

MARLON JIMENO (NPI 1053005280) is an individual family provider in Bakersfield, California, licensed in California (95025474) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.

NPPES Registry Identity

NPI1053005280

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMARLON JIMENO

Location Address2901 SILLECT AVE STE 100Bakersfield, CA 93308-6372

Mailing AddressPo Box 1139Bakersfield, CA 93302-1139 · (661) 371-2796 · Fax (661) 438-1746

Phone(661) 323-8384

Fax(661) 323-9326

Sole ProprietorNo

Enumeration DateJune 8, 2023

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1053005280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95025474

2901 SILLECT AVE STE 100, Bakersfield, CA 93308

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Secondary Practice Location 1

Location 1100 Old River Rd Ste 120Bakersfield, CA 93311-8334 · Phone (661) 323-8384 · Fax (661) 323-9326

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlon Jimeno 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.

Medicare Billing Reassignment

Medicare enrollment records show Marlon Jimeno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centric Health

Same address

Internal Medicine

2901 SILLECT AVE STE 100
Bakersfield, CA 93308

Reassigned Medicare billing, California enrollment
79 clinicians in this Medicare group

NPI 1578076501 (661) 371-2794

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

PAMPANA GOWD MD

Internal Medicine (Cardiovascular Disease)