Active NPI
Kimberly Ann Dreher, DO
- Pediatrics Physician
- Corona, CA
National Provider Identifier
1013968361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A8203
- Practice address
- 3667 Sedlock Dr
Corona, CA 92881-8434 - Phone
- (951) 343-3481
- Fax
- (951) 343-3486
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A8203 | CA | Primary |
Addresses
Primary practice location
3667 Sedlock Dr
Corona, CA 92881-8434
Mailing address
3667 Sedlock Dr
Corona, CA 92881-8434
Phone (951) 343-3481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A8203 | Other | CA | LICENSE |
Other names 1
- Kimberly Ann Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8203 | CA | MD | Mental Health Counselor |
| 20A8203 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1013968361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3667 SEDLOCK DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928818434",
"telephone_number": "951-343-3481",
"fax_number": "951-343-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3667 SEDLOCK DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928818434",
"telephone_number": "951-343-3481",
"fax_number": "951-343-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREHER",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A8203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "20A8203",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "THOMPSON",
"middle_name": "ANN",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.