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MR. ISMAEL JIMENEZ FNP
NPI 1629424460
Nurse Practitioner - Family in Santa Clarita, CA

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
18533 SOLEDAD CANYON RD, SANTA CLARITA, CA 91351(661) 673-8800(661) 299-4023 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2021, May 11, 2016 (2 updates tracked since 2016).

About Mr. Ismael Jimenez Fnp NPPES

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

MR. ISMAEL JIMENEZ FNP (NPI 1629424460) is an individual family provider in Santa Clarita, California, licensed in California (95004241) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629424460
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ISMAEL JIMENEZCredential: FNP
Location Address18533 SOLEDAD CANYON RDSanta Clarita, CA 91351-3722
Mailing Address29410 Dakotah CtCanyon Country, CA 91387-7101 · (661) 309-5216
Phone(661) 673-8800
Fax(661) 299-4023
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 11, 2016
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
✔ NPI 1629424460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95004241
18533 SOLEDAD CANYON RD, Santa Clarita, CA 91351
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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

Mr. Ismael Jimenez Fnp 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.

PECOS PAC ID8325390123
PECOS Enrollment IDI20181005000752
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.

Medicare Billing Reassignment

Medicare enrollment records show Ismael Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.7 mi
Health Maintenance Organization
19105 GOLDEN VALLEY RD
Santa Clarita, CA 91387
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1316409410 (877) 608-0044

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 91351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DELARAM DANAEI MD
Family Medicine
18533 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351
Los Angeles County (661) 673-8800
ELLENE SANDOVAL
Pediatrics
18533 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351
Los Angeles County (661) 673-8800
CATHERINE SANTIZO PA
Physician Assistant
18533 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351
Los Angeles County (661) 673-8800
NORTHEAST VALLEY HEALTH CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
18533 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351
Los Angeles County (661) 287-1551
KEISHLA JANICE DEGRO VALLADARES MD, FAAP
Pediatrics
18533 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351
Los Angeles County (616) 738-8006
NATALIA HENRIQUEZ MD
Family Medicine
18533 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351
Los Angeles County (661) 673-8800

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 Ismael Jimenez's NPI number?

The NPI number for Ismael Jimenez is 1629424460. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Ismael Jimenez located?

Ismael Jimenez practices at 18533 Soledad Canyon Rd, Santa Clarita, CA 91351. The listed phone number is (661) 673-8800.

What is Ismael Jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ismael Jimenez enrolled in Medicare?

Yes. Ismael 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 organization bills Medicare for Ismael Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismael Jimenez reassigns Medicare benefits to Southern California Permanente Medical Group (Santa Clarita, CA). The 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 Ismael 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 Ismael Jimenez was last updated on December 3, 2021. 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.