DOUGLAS JIMENEZ M.D. – NPI #1154474781
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DOUGLAS JIMENEZ is a physician located in SANTA ROSA, CA. NPPES has assigned the NPI number 1154474781 to DOUGLAS JIMENEZ on January 18, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jul 31, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOUGLAS JIMENEZ below.

NPI Profile for
DOUGLAS JIMENEZ

NPI Number
1154474781
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DOUGLAS JIMENEZ
Credentials
M.D.
Primary location
1300 N DUTTON AVE
SANTA ROSA, CA 95401-7112
Phone: (707) 459-6861 Fax:
1 Other location(s):
751 Lombardi Ct Ste B
Santa Rosa, CA 95407-6793
Phone: (707) 547-2222
Fax: (707) 547-2229
Mailing address
751 LOMBARDI CT STE B
SANTA ROSA, CA 95407-6793
Phone: (707) 547-2222 Fax: (707) 547-2229
Sole Proprietor
No
Updated
Identifiers

Identifiers for DOUGLAS JIMENEZ

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A731100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA A73110

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DOUGLAS JIMENEZ is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY MEDICAL CENTER OF MT SHASTA
      914 PINE STREET
      MOUNT SHASTA, CA 96067
    • SUTTER SANTA ROSA REGIONAL HOSPITAL
      30 MARK WEST SPRINGS ROAD
      SANTA ROSA, CA 95403

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.