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

Dr. Jimmy Jimenez, DC

Individual provider Nutrition Chiropractor · NPI 1750730081

Dr. Jimmy Jimenez, DC is a Chiropractic in San Pedro, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2016
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

717 S Averill Ave
San Pedro, CA 90732-3813
Phone: (424) 732-3012
Fax: (424) 232-8502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 33600 (CA)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence 33600 (CA)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 33600 (CA)

Record details

NPI number1750730081
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing address717 S Averill Ave, San Pedro, CA 90732

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated