Angela C Jimenez
Angela C Granados · Pediatrics

Address: 5880 S Hospital Dr, Globe, AZ 85501-9447
Phone: 9284253261

Angela C Jimenez (NPI# 1619268463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1619268463
Entity Type Individual
Full Name Angela C Jimenez
Other Name Angela C Granados
Credential M.D.
Gender Female
Practice Address 5880 S Hospital Dr
Globe
AZ 85501-9447
Practice Telephone 9284253261
Practice Fax Number 9284253859
Mailing Address 5880 S Hospital Dr
Globe
AZ 85501-9447
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-04-27
Last Update Date 2015-08-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208000000X Pediatrics Allopathic & Osteopathic Physicians A115118 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA FHC71031F MEDICAID
CA 1841217866 OTHER CORPORATE NPI NUMBER
CA 1841217866 MEDICAID
CA FHC03884F MEDICAID
CA FHC70593F MEDICAID

Other Providers ANGELA JIMENEZ

NPI Name Taxonomy Address Enumeration
1508370842 Angela Luceno Jimenez Registered Nurse 401 5th Ave Ste 1000, Seattle, WA 98104-1818 2017-11-22

Physician Overview

NPI 1619268463
PAC ID by PECOS 0941459804
Professional Enrollment ID I20150917000413
Full Name Angela Jimenez
Organization Legal Name COBRE VALLEY REGIONAL MEDICAL CENTER
Phone Number 9284253261
Gender F
Medical School UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty PEDIATRIC MEDICINE
Group Practice PAC ID 0648181693
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Office Location

Street Address 5880 S HOSPITAL DR
City GLOBE
State AZ
Zip Code 85501-9447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093719577 Peter B. Peifer Physician Assistant 5880 S Hospital Dr, Globe, AZ 85501-9447 2005-06-13
1376028571 Zachariah Mcbride Physician Assistant 5880 S Hospital Dr, Globe, AZ 85501-9447 2018-10-03
1124520150 Lpp of Arizona LLC Emergency Medicine 5880 S Hospital Dr, Globe, AZ 85501-9447 2018-03-06
1336698851 Michael Smith Physician Assistant 5880 S Hospital Dr, Globe, AZ 85501-9447 2016-09-26
1003213828 Cobre Valley Regional Medical Center Clinical Medical Laboratory 5880 S Hospital Dr, Globe, AZ 85501-9447 2014-11-21
1124430244 Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered 5880 S Hospital Dr, Globe, AZ 85501-9447 2014-05-22
1114347929 Tranquilized Anesthesia LLC Nurse Anesthetist, Certified Registered 5880 S Hospital Dr, Globe, AZ 85501-9447 2014-04-18
1366791071 Jennifer Lynne Swanson Physician Assistant 5880 S Hospital Dr, Globe, AZ 85501-9447 2012-09-10
1275893604 Stuart Matthew Shellenberger Nurse Anesthetist, Certified Registered 5880 S Hospital Dr, Globe, AZ 85501-9447 2012-05-18
1215211255 John Allen Saums Physician Assistant 5880 S Hospital Dr, Globe, AZ 85501-9447 2011-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558802884 Mary Beth Patterson Pharmacist 100 S Ragus Rd, Globe, AZ 85501 2017-03-20
1255873402 Christopher Sessions Physician Assistant 5880 N Hospital Drive, Globe, AZ 85501 2016-11-04
1235681156 Michelle Pettitt Naturopath 138 S. Broad Street, Globe, AZ 85501 2016-10-26
1790154664 Ryan Bradley Physician Assistant 5880 N Hospital Dr, Globe, AZ 85501 2015-09-21
1235510058 Eric Fillmore Nurse Practitioner 5860 N Hospital Dr, #102, Globe, AZ 85501 2015-06-17
1417297052 Horizon Health and Wellness, Inc. Community/Behavioral Health 2250 Hwy 60, Suite I, Globe, AZ 85501 2013-02-19
1528307964 William G Sypult Internal Medicine 8036 South Cherokee Drive, Globe, AZ 85501 2013-02-05
1821345752 Community Bridges, Inc Clinical Medical Laboratory 5734 East Hope Lane, Globe, AZ 85501 2012-08-09
1770841215 Cv Ob Gyn Women's Healthcare Obstetrics & Gynecology 5882 S Hospital Drive, Suite 1, Globe, AZ 85501 2012-05-02
1235420993 Jennifer Lyn Davis Licensed Vocational Nurse 1300 South Street, Globe, AZ 85501 2011-04-28
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588719520 Mahmoud M Omari Md PC Pediatrics 5882 S Hospital Dr Ste 4, Globe, AZ 85501-9455 2007-01-23
1841288859 Mahmoud M Omari Pediatrics 5882 S Hospital Dr, Suite 4, Globe, AZ 85501-9455 2005-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063987683 Katherine Anne Bassler Pediatrics 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 2018-10-10
1518444009 Marana Health Center, Inc Pediatrics 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 2018-07-26
1700373180 Coolidge Pediatrics Pediatrics 299 W Central Ave Ste B, Coolidge, AZ 85128-4726 2018-04-20
1881191278 Jodi Lynn Murati Pediatrics 36002 N 30th Ave, Phoenix, AZ 85086-2255 2018-04-11
1619485489 Pleasant Pediatrics Plc Pediatrics 9980 W Glendale Ave Ste 130, Glendale, AZ 85307-3007 2018-01-16
1356859128 Pleasant Pediatrics Plc Pediatrics 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 2018-01-16
1851802151 Our Kidz Doc Pllc Pediatrics 3341 W Sheffield Ave, Chandler, AZ 85226-1418 2017-10-13
1295250009 Pleasant Pediatrics Plc Pediatrics 421 W Brown Rd, Mesa, AZ 85201-3336 2017-08-14
1861921173 Tori Danae Huftalin Pediatrics 10320 W Mcdowell Rd Bldg L, Avondale, AZ 85392-4863 2017-06-08
1639619968 Pediatrics Kare LLC Pediatrics 7611 W Thomas Rd #co64, Phoenix, AZ 85033-5469 2017-03-06
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City GLOBE
Zip Code 85501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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