MEDICARE: ALEXIS JIMENEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-17-44197	CA

General Provider Information

NPI Number	:	1497250526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS JIMENEZ

Provider Business Mailing Address
First Line	:	516 CARTMELL WAY
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95341-6800
Country	:	US
Telephone Number	:	209-628-5464
Fax Number	:

Provider Business Practice Location Address
First Line	:	20212 REDWOOD RD
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4324
Country	:	US
Telephone Number	:	510-422-2090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	03/11/2019

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1033314729 — DR. PATRICIA LYNN WESTERHOUT D.D.S.
Practice Location Address:

20212 REDWOOD RD , SUITE 101
CASTRO VALLEY, CA
94546-4324

Practice Phone: 510-886-6416
Practice Fax: 510-886-4827

1912199142 — CHRISTINE MOISENCO MFT
Practice Location Address:

20212 REDWOOD RD , SUITE 202
CASTRO VALLEY, CA
94546-4324

Practice Phone: 510-888-2080
Practice Fax:

1104080522 — DR. VIJAY MUNAGALA DDS, MPH
Practice Location Address:

20212 REDWOOD RD STE 101
CASTRO VALLEY, CA
94546-4324

Practice Phone: 510-886-6416
Practice Fax: 510-886-4827

1255808382 — NADYA ALEXANDRA MENDOZA
Practice Location Address:

20212 REDWOOD RD # 201
CASTRO VALLEY, CA
94546-4324

Practice Phone: 510-422-2090
Practice Fax:

1417426990 — OSARUESE IGIEBOR
Practice Location Address:

20212 REDWOOD RD STE 201
CASTRO VALLEY, CA
94546-4324

Practice Phone: 510-422-2090
Practice Fax:

Directions to “ ALEXIS JIMENEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.