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JIMENA JIMENEZ
NPI 1104504091
Rehabilitation Practitioner in Upland, CA

Active since July 10, 2023
1425 W FOOTHILL BLVD FL 2, UPLAND, CA 91786(714) 966-8650 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Jul 10, 2023 (2 updates tracked since 2023).

About Jimena Jimenez NPPES

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

JIMENA JIMENEZ (NPI 1104504091) is an individual rehabilitation practitioner in Upland, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104504091
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameJIMENA JIMENEZ
Location Address1425 W FOOTHILL BLVD FL 2Upland, CA 91786-8007
Mailing Address25910 Acero Ste 160Mission Viejo, CA 92691-2777
Phone(714) 966-8650
Sole ProprietorYes
Enumeration DateJuly 10, 2023
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1104504091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1425 W FOOTHILL BLVD FL 2, Upland, CA 91786
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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 Jimena Jimenez's NPI number?

The NPI number for Jimena Jimenez is 1104504091. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Jimena Jimenez located?

Jimena Jimenez practices at 1425 W Foothill Blvd Fl 2, Upland, CA 91786. The listed phone number is (714) 966-8650.

What is Jimena Jimenez's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jimena Jimenez was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.