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

Manuel Jimenez I, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1619412350

Manuel Jimenez I, PHYSICIANASSISTANT is a Physician Assistant in Sunnyside, Washington. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2017
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Practice location Address checks out

1614 E Edison Ave Ste F
Sunnyside, WA 98944-1668
Phone: (509) 824-6994
Fax: (509) 515-2034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WA)

Record details

NPI number1619412350
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address409 Emerald Ave, Grandview, WA 98930-6101

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sunnyside