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DR. JIMMY JIMENEZ D.C.
NPI 1750730081
Chiropractor in San Pedro, CA

Active since June 07, 2016
717 S AVERILL AVE, SAN PEDRO, CA 90732(424) 732-3012(424) 232-8502 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2020, Jan 3, 2019, Jun 30, 2016 (3 updates tracked since 2016).

About Dr. Jimmy Jimenez D.c. NPPES

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

DR. JIMMY JIMENEZ D.C. (NPI 1750730081) is an individual chiropractor in San Pedro, California, licensed in California (33600) and active in the NPI registry since June 2016. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1750730081
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JIMMY JIMENEZCredential: D.C.
Location Address717 S AVERILL AVESan Pedro, CA 90732-3813
Mailing Address717 S Averill AveSan Pedro, CA 90732 · (424) 732-3002 · Fax (424) 232-8502
Phone(424) 732-3012
Fax(424) 232-8502
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 7, 2016
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1750730081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 33600
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 33600 (CA)
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 33600 (CA)
717 S AVERILL AVE, San Pedro, CA 90732
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jimmy Jimenez D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012201080
PECOS Enrollment IDI20160815000703

Other Providers at the Same Location NPPES

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

DR. GREGG ROBERT MAKOVIC D.P.M.
Podiatrist
717 S AVERILL AVE
SAN PEDRO, CA 90732
Los Angeles County (310) 548-6298

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 Jimmy Jimenez's NPI number?

The NPI number for Jimmy Jimenez is 1750730081. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Jimmy Jimenez located?

Jimmy Jimenez practices at 717 S Averill Ave, San Pedro, CA 90732. The listed phone number is (424) 732-3012.

What is Jimmy Jimenez's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jimmy Jimenez enrolled in Medicare?

Yes. Jimmy Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jimmy Jimenez was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.