Kimberly Bedell, M.D., Inc.

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

G79189 Issued in CA

Legal business name

KIMBERLY BEDELL, M.D., INC.

Practice address

2801 Atlantic Ave
Long Beach, CA 90806-1701

Phone

(562) 933-8750

Fax

(562) 933-8014

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Bedell, M.D.NPI 1063454486

Title

Owner

Phone

(562) 933-8750

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly K Bedell, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1063454486
  Medicare reassignment NPD Authorized official
• Amy J Cassedy, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1164468401
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1083801708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41176",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908531176",
            "telephone_number": "562-933-8750",
            "fax_number": "562-933-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-8750",
            "fax_number": "562-933-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY BEDELL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-933-8750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "G79189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa Kim
• William Kyu Kim, MD
• Yejin Kim, D.C.
• Yeo Lim Kim, M.A.
• Yisook Kim
• Alexander Kimble
• Elijah Kimble
• Myeasha Kimble, FNP-BC
• Penny Elizabeth King-Licano, LMFT
• Alicia King, CADC-II

• Pediatric Rehabilitation Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Rehabilitation Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.