NPI 1104412360
Kasandra Isabel Jimenez
Practice location
- Address
- 1925 Garden CT, Antioch, CA 94509-2865
- Phone
- (925) 470-3176
- Mailing address
- 2213 Buchanan Rd STE 107, Antioch, CA 94509-4265
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1104412360
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Dec 2020
- Record last updated
- 2 Feb 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.