Individual provider · Type 1 NPI

Rafael Jimenez Iii, PA

Physician Assistant · Indio, CA

NPI number 1124995857 Active

Practice location

47111 Monroe St
Indio, CA 92201-6799

Mailing address

48369 Camino Maya
Coachella, CA 92236-6372

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA67187 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124995857

Rafael Jimenez Iii, PA's National Provider Identifier is 1124995857, issued on Oct 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indio, CA. The record was last updated on Oct 17, 2025.