JEANETTE JIMENEZ-GRILLO NP
NPI 1669605614
Nurse Practitioner - Family in San Diego, CA
About Jeanette Jimenez-grillo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTE JIMENEZ-GRILLO NP (NPI 1669605614) is an individual family provider in San Diego, California, licensed in California (842062) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jeanette Jimenez-grillo Np 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 Reassignment
Medicare enrollment records show Jeanette Jimenez-grillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 5,228 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 92108 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
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 Jeanette Jimenez-grillo's NPI number?
The NPI number for Jeanette Jimenez-grillo is 1669605614. It was assigned to this individual provider in the NPPES registry on August 25, 2009. The provider is also known as Jeanette Jimenez Np.
Where is Jeanette Jimenez-grillo located?
Jeanette Jimenez-grillo practices at 1288 Camino Del Rio N, San Diego, CA 92108. The listed phone number is (619) 542-0025.
What is Jeanette Jimenez-grillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeanette Jimenez-grillo enrolled in Medicare?
Yes. Jeanette Jimenez-grillo 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 Jeanette Jimenez-grillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Jimenez-grillo reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Jeanette Jimenez-grillo'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 Jeanette Jimenez-grillo was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jeanette Jimenez-Grillo, NP · NPI 1669605614
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 25, 2009.
## Identity
- **NPI:** 1669605614 (Entity type: Individual)
- **Enumerated:** August 25, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 842062 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1288 CAMINO DEL RIO N, San Diego, CA 92108-1511
- **Phone:** (619) 542-0025
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 4, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1669605614) · Data from the CMS NPPES public registry.