Active NPI
Kimberly Tustison, MD
- Obstetrics & Gynecology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A131535
- Practice address
- 21634 Retreat Pkwy
Corona, CA 92883-6100 - Phone
- (951) 493-6814
- Fax
- (951) 826-8134
- NPI assigned
- May 27, 2010
- Last updated
- Apr 11, 2025
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A131535 | CA | Primary |
Addresses
Primary practice location
21634 Retreat Pkwy
Corona, CA 92883-6100
Mailing address
21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 493-6814
Other practice location 1
3390 University Ave Ste 100
Riverside, CA 92501
Phone (844) 827-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25485 Medical Ctr Dr
Suite 100
Murrieta, CA 92562-6927
Phone (951) 683-6370
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131535 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| RMC Surgery Center, LLC | Past | Accepting new patients |
Locations
25485 Medical Center Dr
Ste 100
Murrieta, CA 92562
Phone (909) 461-8684
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
Obstetrics & Gynecology
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
Obstetrics & Gynecology
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1871902452
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
dba RMC Surgery Center
- Ambulatory Surgical Clinic/Center
- Riverside, CA
- NPI 1396709077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1063731297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21634 RETREAT PKWY",
"city": "CORONA",
"state": "CA",
"postal_code": "928836100",
"telephone_number": "951-493-6814",
"fax_number": "951-826-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21634 RETREAT PKWY",
"city": "CORONA",
"state": "CA",
"postal_code": "928836100",
"telephone_number": "951-493-6814",
"fax_number": "951-826-8134"
}
],
"practiceLocations": [
{
"address_1": "3390 University Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92501",
"country_code": "US",
"telephone_number": "844-827-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUSTISON",
"first_name": "KIMBERLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A131535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.