TINA JIMENEZ
NPI 1699249359
Psychologist - Counseling in Los Angeles, CA

Active since January 16, 2019PECOS EnrolledAccepts Medicare Assignment
1720 E 120TH ST, LOS ANGELES, CA 90059(310) 668-4495 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2025, Jul 22, 2024, Jul 16, 2024 and 1 more (4 updates tracked since 2019).

About Tina Jimenez NPPES

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

TINA JIMENEZ (NPI 1699249359) is an individual counseling provider in Los Angeles, California, licensed in California (PSY34781) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699249359
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameTINA JIMENEZ
Location Address1720 E 120TH STLos Angeles, CA 90059-3052
Mailing Address1720 E 120th StLos Angeles, CA 90059-3052 · (310) 668-4495
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 16, 2019
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1699249359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in CA · PSY34781
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
1720 E 120TH ST, Los Angeles, CA 90059

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

Tina Jimenez 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 ID8426570995
PECOS Enrollment IDI20250313003809
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 Reassignments

3

Medicare enrollment records show Tina Jimenez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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.

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.

Social Worker (Clinical)
1720 E 120TH ST
LOS ANGELES, CA 90059
Community Health Worker
1720 E 120TH ST
LOS ANGELES, CA 90059
Community Health Worker
1720 E 120TH ST
LOS ANGELES, CA 90059
Social Worker (Clinical)
1720 E 120TH ST
LOS ANGELES, CA 90059
Psychiatry & Neurology (Psychiatry)
1720 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1720 E 120TH ST
LOS ANGELES, CA 90059
Social Worker (Clinical)
1720 E 120TH ST
LOS ANGELES, CA 90059
Nurse Practitioner (Psychiatric/Mental Health)
1720 E 120TH ST
LOS ANGELES, CA 90059

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 Tina Jimenez's NPI number?

The NPI number for Tina Jimenez is 1699249359. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Where is Tina Jimenez located?

Tina Jimenez practices at 1720 E 120th St, Los Angeles, CA 90059. The listed phone number is (310) 668-4495.

What is Tina Jimenez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Tina Jimenez enrolled in Medicare?

Yes. Tina 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 Tina Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Jimenez reassigns Medicare benefits to 3 organizations: Ucsf Dept Of Surgery (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, 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 Tina 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 Tina Jimenez was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.