EDGAR LEONEL JIMENEZ
NPI 1982142410
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since February 03, 2017
555 RESERVOIR DR ., SUITE 204-A, SAN DIEGO, CA 92120(619) 822-1800 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar Leonel Jimenez NPPES

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

EDGAR LEONEL JIMENEZ (NPI 1982142410) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1982142410
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDGAR LEONEL JIMENEZ
Location Address555 RESERVOIR DR ., SUITE 204-ASan Diego, CA 92120
Mailing AddressPo Box 1764Camarillo, CA 93011-1764 · (805) 284-5403
Sole ProprietorNo
Enumeration DateFebruary 3, 2017
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 7, 2022
NPI 1982142410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
555 RESERVOIR DR ., San Diego, CA 92120

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 Edgar Jimenez's NPI number?

The NPI number for Edgar Jimenez is 1982142410. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Where is Edgar Jimenez located?

Edgar Jimenez practices at 555 Reservoir Dr . Suite 204-A, San Diego, CA 92120. The listed phone number is (619) 822-1800.

What is Edgar Jimenez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edgar Jimenez was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.