Provider Demographics
NPI:1568759652
Name:JIMENEZ, SHIRIN YASAMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:YASAMAN
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHIRIN
Other - Middle Name:YASAMAN
Other - Last Name:ZARAFSHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4860 Y ST STE 2820
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-3761
Mailing Address - Fax:916-734-0760
Practice Address - Street 1:4860 Y ST STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2309
Practice Address - Country:US
Practice Address - Phone:169-734-2011
Practice Address - Fax:916-734-0760
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113300207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine