ANTHONY JIMENEZ
NPI 1174260400
Licensed Vocational Nurse in San Bernardino, CA

Q: What is Anthony Jimenez's NPI number?

The NPI number for Anthony Jimenez is 1174260400. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Q: What is Anthony Jimenez's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Jimenez was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 18, 2022

349 W 11TH ST, SAN BERNARDINO, CA 92410(909) 381-3774 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Anthony Jimenez NPPES

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

ANTHONY JIMENEZ (NPI 1174260400) is an individual licensed vocational nurse in San Bernardino, California, licensed in California (692642) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1174260400

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameANTHONY JIMENEZ

Location Address349 W 11TH STSan Bernardino, CA 92410-3513

Mailing Address1100 N D StSan Bernardino, CA 92410-3524

Phone(909) 381-3774

Sole ProprietorNo

Enumeration DateMay 18, 2022

NPPES CertifiedMay 18, 2022

✔ NPI 1174260400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 692642

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

349 W 11TH ST, San Bernardino, CA 92410

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Other Providers at the Same Location NPPES 10

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

SANDRA MONTENEGRO

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