Basille Jimenez, MS, CCC-SLP

Speech-Language Pathologist · Gardena, CA

Individual Active NPI

NPI number 1912600289

Practice location

1411 W 190TH St Ste 110
Gardena, CA 90248-4370
Phone
(310) 719-3908

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NPI record

NPI
1912600289
Entity type
Individual (Type 1)
Enumeration date
March 24, 2023
Last updated
October 16, 2025
Certified
October 16, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Basille Jimenez

Basille Jimenez, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1411 W 190TH St Ste 110, Gardena, CA 90248-4370. The NPI number 1912600289 was assigned on March 24, 2023 and the record was last updated on October 16, 2025.

Frequently asked questions

What is the NPI number of Basille Jimenez, MS, CCC-SLP?

The NPI number is 1912600289.

What is the phone number of Basille Jimenez?

The phone number listed for the practice location is (310) 719-3908.

Where is Basille Jimenez located?

1411 W 190TH St Ste 110, Gardena, CA 90248-4370.

What is the taxonomy code for Basille Jimenez?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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