NPIMap

Individual provider Active NPI

Kimberly Byers-Lund, D.O.

  • Family Medicine Physician
  • Coronado, CA
National Provider Identifier
1083754675
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7010 Issued in CA
Practice address
230 Prospect PL Ste 220
Coronado, CA 92118-1978
Phone
(619) 435-1890
Fax
(619) 435-1849
NPI assigned
Feb 6, 2007
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 20A7010 CA Primary

Addresses

Primary practice location

230 Prospect PL Ste 220
Coronado, CA 92118-1978

Mailing address

230 Prospect PL Ste 220
Coronado, CA 92118-1978
Phone (619) 507-0279

Other practice location 1

230 Prospect Pl Ste 340B
Coronado, CA 92118-1991
Phone (619) 522-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberlybyers-lund@kbl.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419001512 CA Practitioner - Family Practice 3375581473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Kim Byers-LundGroup PAC ID 1456761931, 2 clinicians

Practice addresses (Care Compare)

230 Prospect PL
Suite 220
Coronado, CA 92118-1978
Phone (619) 435-1890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7010CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kim Byers-Lund Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Sharp Healthcare Past Accepting new patients
Scripps Health Family Medicine Past Accepting new patients

Locations

230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450

Interoperability endpoints

  • Direct secure messaging: kbyerslund24905@sharphealthcare.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1083754675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 220",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-507-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 220",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-435-1890",
            "fax_number": "619-435-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Prospect Pl Ste 340B",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181991",
            "country_code": "US",
            "telephone_number": "619-522-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERS-LUND",
        "first_name": "KIMBERLY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlybyers-lund@kbl.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "230 Prospect Pl Ste 220",
            "city": "Coronado",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921181978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.