ROXANN KRYSTAL BAEZA JIMENEZ M.S., CCC-SLP
NPI 1740069152
Speech-Language Pathologist in Riverside, CA

Q: What is Roxann Baeza Jimenez's NPI number?

The NPI number for Roxann Baeza Jimenez is 1740069152. It was assigned to this individual provider in the NPPES registry on September 25, 2023. The provider is also known as Roxann Krystal Baeza M.S., Ccc-Slp.

Q: What is Roxann Baeza Jimenez's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since September 25, 2023

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(883) 574-2273 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Roxann Krystal Baeza Jimenez M.s., Ccc-slp NPPES

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

ROXANN KRYSTAL BAEZA JIMENEZ M.S., CCC-SLP (NPI 1740069152) is an individual speech-language pathologist provider in Riverside, California, licensed in California (17424) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1740069152

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameROXANN KRYSTAL BAEZA JIMENEZCredential: M.S., CCC-SLP

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043

Phone(883) 574-2273

Sole ProprietorYes

Enumeration DateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1740069152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 17424

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

10800 MAGNOLIA AVE, Riverside, CA 92505

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Other Names 1

Professional Name (2)Roxann Krystal Baeza M.s., Ccc-slp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxann Krystal Baeza Jimenez M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

10800 MAGNOLIA AVE
Riverside, CA 92505

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1316979834 (866) 984-7483

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.

KAISER PERMANENTE

General Acute Care Hospital