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

Mr. Loverne Greg de Venecia Jimenez, PA-C

Individual provider Surgical Physician Assistant · NPI 1548402209

Mr. Loverne Greg de Venecia Jimenez, PA-C is a Physician Assistant in Seattle, Washington. Qualified in 2008, 18 years ago. Practices with Swedish Health Services, a 79-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

747 Broadway
Seattle, WA 98122-4379
Phone: (206) 861-8550
Fax: (206) 861-8551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 17th Ave, Seattle, WA 98122-5711 — (206) 861-8550

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60061961 (WA)

Record details

NPI number1548402209
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Swedish Health Services — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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