Vivian Jimenez
Speech-Language Pathologist, in Granada Hills, CA. Individual provider (NPI-1).
NPI number1295525293
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1295525293
- Entity type
- Individual (NPI-1)
- Name
- Vivian Jimenez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2025
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 38011 | CA | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
15650 Devonshire St Ste 208Granada Hills, CA 91344-7245
Phone 818-488-1145
Mailing address
13921 Judd StPacoima, CA 91331-3639
Phone 818-492-8905
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Speech-Language Pathologist providers in Granada Hills · All 1,199 providers in Granada Hills
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