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

Mrs. Susana Guadalupe Jimenez, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1750854865

Mrs. Susana Guadalupe Jimenez, AG-ACNP is a Nurse Practitioner in Simi Valley, California. Qualified in 2018, 8 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

124 Macaw Ln
Simi Valley, CA 93065-3152
Phone: (805) 306-0304
Fax: (805) 306-0102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95010834 (CA)

Record details

NPI number1750854865
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Simi Valley