Kimberly Kayvanfar

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

50001 Issued in CA

Practice address

29 Acorn RDG
Rancho Santa Margarita, CA 92688-5508

Phone

(818) 321-9920

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1003516931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ACORN RDG",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ACORN RDG",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885508",
            "telephone_number": "818-321-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYVANFAR",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karafin Dental Corp
• Scott Karafin, D,D.S.
• Katayoun Massoudi, DDS Incorporated
• Kathleen M. Andersen, O.D., Inc.
• Christina Marie Kayanan, LMFT, APCC
• Kenneth A Kazenelson, M.D.
• Hallie Keatley, DPT
• Julie Nadine Keck, PHD
• Alexa Kennedy, OTR/L
• Kaitlin Kennedy, RDH

• Physical Therapy Assistant in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.