Individual provider

Andres Jimenez, M.D.

Family Medicine Physician Medicare enrolled

Andres Jimenez, M.D. is a Family Medicine Physician in San Pedro, CA, registered under NPI 1871609404.

Getting there

The practice address on file is 1294 W 6TH ST SUITE 103, San Pedro, CA 90731. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1294 W 6TH ST SUITE 103, San Pedro, CA 90731 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G55250 CA Family Medicine Physician primary

This provider holds licence G55250 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
0446395842
Enrollment ID
I20100310000601

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1871609404 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 23, 2006
Last updatedApr 15, 2021
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 1294 W 6TH ST
SUITE 103
San Pedro, CA 90731
(310) 831-9482
Fax (310) 831-1230
Mailing address 1499 W 1ST ST
San Pedro, CA 90732
Other identifiers 00G552500 · Medicaid (CA)
The last update on file is Apr 15, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1871609404 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 7 1 6 0 9 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 5 1 3 0 9 4 0

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1871609404?
NPI 1871609404 is the National Provider Identifier assigned to Andres Jimenez, M.D. in San Pedro, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
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.
How do I contact Andres Jimenez, M.D.?
The phone number on file with NPPES is (310) 831-9482, last updated Apr 15, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Andres Jimenez, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1871609404 a valid number?
Yes. 1871609404 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.