Desiree Jimmy, RN
NPI 1104578566ActiveIndividual· Registered Nurse, General Practice· Los Angeles, CA
Registered Nurse, General Practice (RN) in Los Angeles, California, licensed in CA, with an NPI issued in January 2022.
Overview
| NPI | 1104578566 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Jan 26, 2022 |
| Last updated in NPPES | Mar 26, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 95396299 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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