Individual provider Active NPI

Kimberly Anne Bekemeier, DO

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1073710489
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10741 Issued in CA
Practice address
4911 Warner Ave Ste 215
Huntington Beach, CA 92649-4475
Phone
(714) 475-7151
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10741 CA Primary

Addresses

Primary practice location

4911 Warner Ave Ste 215
Huntington Beach, CA 92649-4475

Mailing address

19051 Goldenwest St Ste 106-102
Huntington Beach, CA 92648-2155
Phone (714) 475-7151

Other practice location 1

16465 Sierra Lakes Pkwy Ste 300
Fontana, CA 92336-1242
Phone (909) 469-2864

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000231 CA Practitioner - Family Practice 7416140322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cucamonga Valley Medical Group IncGroup PAC ID 6709899883, 24 clinicians

Practice addresses (Care Compare)

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 429-2864

Hospital & facility affiliations

  • American Eagle Home Health Care, Inc. Home health agency, Pasadena, CA, CCN 753169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10741CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cucamonga Valley Medical Group, Inc. Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Primecare Medical Group Past Accepting new patients

Locations

12442 Limonite Ave
Unit 205
Eastvale, CA 91752
Phone (909) 429-2864

16465 Sierra Lakes Pkwy
Ste 300
Fontana, CA 92336
Phone (909) 429-2864

1310 San Bernardino Rd
Ste 105
Upland, CA 91786
Phone (909) 429-2864

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1073710489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19051 GOLDENWEST ST STE 106-102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482155",
            "telephone_number": "714-475-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVE STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494475",
            "telephone_number": "714-475-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16465 Sierra Lakes Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361242",
            "country_code": "US",
            "telephone_number": "909-469-2864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKEMEIER",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.