DR. SARAH ANN JIMENEZ LCSW, PHD
NPI 1366101255
Social Worker - Clinical in Berkeley, CA
About Dr. Sarah Ann Jimenez Lcsw, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SARAH ANN JIMENEZ LCSW, PHD (NPI 1366101255) is an individual clinical provider in Berkeley, California, licensed in California (100985) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sarah Ann Jimenez Lcsw, Phd 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sarah Jimenez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
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 94705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sarah Jimenez's NPI number?
The NPI number for Sarah Jimenez is 1366101255. It was assigned to this individual provider in the NPPES registry on December 8, 2021.
Where is Sarah Jimenez located?
Sarah Jimenez practices at 2718 Telegraph Ave Ste 102, Berkeley, CA 94705. The listed phone number is (415) 948-3450.
What is Sarah Jimenez's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Sarah Jimenez enrolled in Medicare?
Yes. Sarah 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.
Which organizations bill Medicare for Sarah Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Jimenez reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Richmond, CA), Sud Specialty Group - Ca (Santa Clara, CA) and Cyti Health PC (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sarah Jimenez was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Sarah Ann Jimenez, LCSW, PHD · NPI 1366101255
Clinical provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since December 8, 2021.
## Identity
- **NPI:** 1366101255 (Entity type: Individual)
- **Enumerated:** December 8, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 100985 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2718 TELEGRAPH AVE STE 102, Berkeley, CA 94705-1142
- **Phone:** (415) 948-3450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1235226531, Richmond, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA); Cyti Health PC (NPI 1679172290, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** August 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366101255) · Data from the CMS NPPES public registry.