Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Jimenez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255972436

Brian Jimenez is a Student in an Organized Health Care Education/Training Program in Colton, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

400 N Pepper Ave Ste 1M107
Colton, CA 92324-1819
Phone: (909) 580-2178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58988 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255972436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address400 N Pepper Ave Ste 1m107, Colton, CA 92324-1819

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