MR. JIMMY MACK IM
NPI 1962876847
Licensed Vocational Nurse in San Gabriel, CA

Q: What is Jimmy Im's NPI number?

The NPI number for Jimmy Im is 1962876847. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Q: What is Jimmy Im's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Im was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 16, 2015

4938 N MUSCATEL AVE, SAN GABRIEL, CA 91776(626) 228-9201 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jimmy Mack Im NPPES

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

MR. JIMMY MACK IM (NPI 1962876847) is an individual licensed vocational nurse in San Gabriel, California, licensed in California (292252) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1962876847

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameMR. JIMMY MACK IM

Location Address4938 N MUSCATEL AVESan Gabriel, CA 91776-2142

Mailing Address4938 N Muscatel AveSan Gabriel, CA 91776-2142 · (626) 228-9201

Phone(626) 228-9201

Sole ProprietorYes

Enumeration DateNovember 16, 2015

✔ NPI 1962876847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 292252

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4938 N MUSCATEL AVE, San Gabriel, CA 91776

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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 Im's NPI number?

The NPI number for Jimmy Im is 1962876847. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Jimmy Im located?

Jimmy Im practices at 4938 N Muscatel Ave, San Gabriel, CA 91776. The listed phone number is (626) 228-9201.

What is Jimmy Im's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Jimmy Im was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.