DR. SHARON WIRAWAN JIMENEZ M.D.
NPI 1528486024
Pediatrics in Playa Vista, CA

NPI Status: Active since April 01, 2014

Contact Information

12746 W JEFFERSON BLVD STE 4000
PLAYA VISTA, CA
ZIP 90094
Phone: (424) 315-2202

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About SHARON WIRAWAN JIMENEZ

Sharon Wirawan Jimenez is a pediatrician established in Playa Vista, California and her medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1528486024 assigned on April 2014. The practitioner's primary taxonomy code is 208000000X with license number A139576 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1528486024
Provider Name
DR. SHARON WIRAWAN JIMENEZ M.D.
Gender
Female
Entity Type
Individual
Location Address
12746 W JEFFERSON BLVD STE 4000 PLAYA VISTA, CA 90094
Location Phone
(424) 315-2202
Mailing Address
12746 W JEFFERSON BLVD STE 4000 PLAYA VISTA, CA 90094
Mailing Phone
(424) 315-2202
Is Sole Proprietor?
No
Enumeration Date
04-01-2014
Last Update Date
02-07-2023
Code Navigator

A pediatrician like Sharon Wirawan Jimenez is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
A139576
License State
CA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PECOS Enrollment and Medicare Participation Status

Sharon Wirawan Jimenez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90094 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $99.5
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.87
  • Average New Patient Copayment $24.87
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $114.88
  • Minimum Established Patient Price $20.89
  • Maximum Established Patient Price $159.82
  • Average Established Patient Copayment $28.72
  • Minimum Established Patient Copayment $5.22
  • Maximum Established Patient Copayment $39.95

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528486024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548881204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 8 + 1 + 2 + 0 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1528486024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336644293DR. BENJAMIN YOONES ZAGHI MD
Individual
Obstetrics & Gynecology12746 W JEFFERSON BLVD STE 4000
PLAYA VISTA, CA 90094
(424) 315-2277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528486024, enumerated in the NPI registry as an "individual" on April 01, 2014

The provider is located at 12746 W Jefferson Blvd Ste 4000 Playa Vista, Ca 90094 and the phone number is (424) 315-2202

The provider's speciality is Pediatrics with taxonomy code 208000000X

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 01, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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