Individual provider Active NPI

Katie Lam Kimpau

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1093516676
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36255TLG Issued in CA
Practice address
22722 Alturas Dr
Mission Viejo, CA 92691-1903
Phone
(949) 870-5017
NPI assigned
Mar 20, 2025
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36255TLG CA Primary

Addresses

Primary practice location

22722 Alturas Dr
Mission Viejo, CA 92691-1903

Mailing address

22722 Alturas Dr
Mission Viejo, CA 92691-1903

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623004165 CA Order and Referring Only - OptometryPractitioner - Optometry 5496228272

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22722 Alturas Dr
Mission Viejo, CA 92691-1903

272 E Huntsman Ave
Reedley, CA 93654-7032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1093516676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 ALTURAS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22722 ALTURAS DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911903",
            "telephone_number": "949-870-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPAU",
        "first_name": "KATIE",
        "middle_name": "LAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36255TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.