IndividualActive
Jessica Jimenez, PA-C
NPI 1306197819 · Physician Assistant · Costa Mesa, CA
Provider details
- NPI number
- 1306197819
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA2012-0041 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1550 Superior Ave
Costa Mesa, CA 92627-3653
Phone: (949) 270-2100
Fax: (949) 650-4458
Street-level locationGet directions
Mailing address
1550 Superior Ave
Costa Mesa, CA 92627-3653
Registry dates
- Enumerated
- 2012-09-24
- Last updated
- 2019-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.