Individual provider Active NPI

Kimberly Bean, FNP

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1104791672
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036125 Issued in CA
Practice address
2415 High School Ave Ste 800
Concord, CA 94520-1858
Phone
(925) 687-5210
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95036125 CA Primary

Addresses

Primary practice location

2415 High School Ave Ste 800
Concord, CA 94520-1858

Mailing address

1519 Thornwood Dr
Concord, CA 94521-1910
Phone (650) 274-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95036125CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Valley Primary Care, Inc. CurrentSince Oct 12, 2025 Accepting new patients
Cardinal Primary Care Medical Group, Inc PastSince Oct 12, 2025 Accepting new patients

Locations

2415 High School Ave
Ste 800
Concord, CA 94520
Phone (925) 687-5210

Interoperability endpoints

  • Direct secure messaging: kbean240735@hpmg.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1104791672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 THORNWOOD DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211910",
            "telephone_number": "650-274-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 800",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201858",
            "telephone_number": "925-687-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.