1. Home
  2. Directory
  3. California
  4. Indio
  5. Physician Assistant
  6. NPI Profile

RAFAEL JIMENEZ III PA
NPI 1124995857
Physician Assistant in Indio, CA

Active since October 17, 2025PECOS EnrolledAccepts Medicare Assignment
47111 MONROE ST, INDIO, CA 92201(760) 347-6191 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Jimenez Iii Pa NPPES

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

RAFAEL JIMENEZ III PA (NPI 1124995857) is an individual physician assistant in Indio, California, licensed in California (PA67187) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2025).

NPPES Registry Identity

NPI1124995857
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRAFAEL JIMENEZ IIICredential: PA
Location Address47111 MONROE STIndio, CA 92201-6799
Mailing Address48369 Camino MayaCoachella, CA 92236-6372 · (760) 449-1972
Phone(760) 347-6191
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2025
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1124995857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA67187
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
47111 MONROE ST, Indio, CA 92201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Jimenez Iii Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143712760
PECOS Enrollment IDI20251121001568
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92201 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 20

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

CHRISTINE GUZON PAGUNURAN PA-C
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
KENNETH GLEN WYS MD
Internal Medicine (Critical Care Medicine)
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
FOUNTAIN VALLEY GROUP SERVICES PC
Hospitalist
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
TIMOTHY KENT EVJE PA-C
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 775-8111
DREW ZIMMER PA
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
VALLEY ANESTHESIOLOGY SERVICES
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Riverside County (562) 407-2080
LALEH GHAFFARIAN
Emergency Medicine
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
MR. DANIEL JAY GENDRON APRN-NP
Nurse Practitioner (Family)
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 775-8111

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 Rafael Jimenez's NPI number?

The NPI number for Rafael Jimenez is 1124995857. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Rafael Jimenez located?

Rafael Jimenez practices at 47111 Monroe St, Indio, CA 92201. The listed phone number is (760) 347-6191.

What is Rafael Jimenez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rafael Jimenez enrolled in Medicare?

Yes. Rafael Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rafael Jimenez was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.