KATHERINE JIMENEZ P.A.
NPI 1417100769
Physician Assistant - Medical in Monterey, CA

Active since October 30, 2008PECOS Enrolled
12 UPPER RAGSDALE DR, MONTEREY, CA 93940(831) 648-7200(831) 648-7204 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Jimenez P.a. NPPES

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

KATHERINE JIMENEZ P.A. (NPI 1417100769) is an individual medical provider in Monterey, California, licensed in California (19412) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Monterey.

NPPES Registry Identity

NPI1417100769
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHERINE JIMENEZCredential: P.A.
Location Address12 UPPER RAGSDALE DRMonterey, CA 93940
Mailing Address12 Upper Ragsdale DrMonterey, CA 93940-5730 · (831) 648-7200 · Fax (831) 648-7204
Fax(831) 648-7204
Sole ProprietorNo
Enumeration DateOctober 30, 2008
Last NPPES UpdateMay 14, 2018
NPI 1417100769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 19412
12 UPPER RAGSDALE DR, Monterey, CA 93940

Secondary Practice Location 1

Location 119 Upper Ragsdale Dr, #150Monterey, CA 93940-7881 · Phone (831) 648-8600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine Jimenez P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Physical Therapist
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Clinic/Center
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Physical Therapist
12 UPPER RAGSDALE DR, SUITE B
MONTEREY, CA 93940
Physical Therapist
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Podiatrist
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Orthopaedic Surgery (Sports Medicine)
12 UPPER RAGSDALE DR
MONTEREY, CA 93940
Orthopaedic Surgery
12 UPPER RAGSDALE DR
MONTEREY, CA 93940

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 Katherine Jimenez's NPI number?

The NPI number for Katherine Jimenez is 1417100769. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Katherine Jimenez located?

Katherine Jimenez practices at 12 Upper Ragsdale Dr, Monterey, CA 93940. The listed phone number is (831) 648-7200.

What is Katherine Jimenez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katherine Jimenez enrolled in Medicare?

Yes. Katherine Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Jimenez was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.