1. Home
  2. Directory
  3. California
  4. Vista
  5. Counselor
  6. NPI Profile

FIDEL JIMENEZ JR. SUD COUNSELOR
NPI 1174019863
Counselor - Addiction (Substance Use Disorder) in Vista, CA

Active since July 05, 2018
550 W VISTA WAY STE 202, VISTA, CA 92083(760) 305-4777 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2021, Aug 26, 2019, Jul 5, 2018 (3 updates tracked since 2018).

About Fidel Jimenez Jr. Sud Counselor NPPES

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

FIDEL JIMENEZ JR. SUD COUNSELOR (NPI 1174019863) is an individual addiction (substance use disorder) provider in Vista, California, licensed in California (9851) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1174019863
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameFIDEL JIMENEZ JR.Credential: SUD COUNSELOR
Location Address550 W VISTA WAY STE 202Vista, CA 92083-5736
Mailing Address550 W Vista Way Ste 202Vista, CA 92083-5736 · (760) 305-4777
Phone(760) 305-4777
Sole ProprietorYes
Enumeration DateJuly 5, 2018
Last NPPES UpdateJuly 9, 20213 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1174019863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 9851
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
550 W VISTA WAY STE 202, Vista, CA 92083
Open in Google Maps ↗

Other Identifiers 1

Other9851CA · California Association Of Dui Treatment Programs

Other Providers at the Same Location NPPES 4

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

EMILY FERNANDEZ BS
Rehabilitation Practitioner
550 W VISTA WAY STE 202
VISTA, CA 92083
San Diego County (760) 305-4890
DORINCA CRUZ
Peer Specialist
550 W VISTA WAY STE 202
VISTA, CA 92083
San Diego County (310) 305-4777
MR. ETHAN CHARLES SCHAFFER MA
Counselor (Mental Health)
550 W VISTA WAY STE 202
VISTA, CA 92083
San Diego County (760) 758-1650
TINA N SNOOK LPCC
Counselor (Professional)
550 W VISTA WAY STE 202
VISTA, CA 92083
San Diego County (760) 305-4777

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 Fidel Jimenez's NPI number?

The NPI number for Fidel Jimenez is 1174019863. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Fidel Jimenez located?

Fidel Jimenez practices at 550 W Vista Way Ste 202, Vista, CA 92083. The listed phone number is (760) 305-4777.

What is Fidel Jimenez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Fidel Jimenez was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.