| Tina Jimenez, | |
|
1720 E 120th St, Los Angeles, CA 90059-3052 | |
| (310) 668-4495 | |
| Not Available |
| Full Name | Tina Jimenez |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 4 Years |
| Location | 1720 E 120th St, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699249359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY34781 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ucsf Medical Center | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ucsf Medical Group Business Services | 3779497870 | 1533 |
| Entity Name | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | UCSF Dept of Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Jimenez, 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: (310) 668-4495 | Tina Jimenez, 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: (310) 668-4495 |
Dr. Jennie M. Mathess, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 N Avenue 66, Los Angeles, CA 90042 Phone: 626-395-7100 |
Dr. Dennis S. Klos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Sepulveda Blvd, Suite 211, Los Angeles, CA 90025 Phone: 310-476-5277 |
Dr. Karen Siscoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 Bauchet St, Los Angeles, CA 90012 Phone: 213-473-6530 |
Dr. Kara Taguchi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 S Vermont Ave, Adult Systems Of Care, 12th Floor, Los Angeles, CA 90020 Phone: 213-305-2999 Fax: 213-381-5497 |
Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698 |
Molly Cevasco, PH.D., BCBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027 Phone: 323-361-3849 |
Dr. Adam Vogel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400 |