Individual provider · Type 1 NPI

Samantha Jimenez

Student in an Organized Health Care Education/Training Program · Ontario, CA

NPI number 1972188597 Active

Practice location

1556 S Sultana Ave
Ontario, CA 91761-4238

Call (909) 418-6923 Map

Fax (909) 418-6937

Mailing address

2027 E Brookside Dr
Ontario, CA 91761-6421

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972188597

Samantha Jimenez's National Provider Identifier is 1972188597, issued on Mar 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ontario, CA. The record was last updated on Mar 25, 2026.