Individual provider Active NPI

Kimberly Lou Pesce, PH.D.

  • Clinical Psychologist
  • Laguna Niguel, CA
National Provider Identifier
1134096951
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
94029216 Issued in CA
Practice address
23986 Aliso Creek Rd # 427
Laguna Niguel, CA 92677-3908
Phone
(714) 756-6756
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 94029216 CA
Addiction (Substance Use Disorder) Psychologist 103TA0400X 94029216
Clinical Psychologist 103TC0700X 94029216 CA Primary

Addresses

Primary practice location

23986 Aliso Creek Rd # 427
Laguna Niguel, CA 92677-3908

Mailing address

23986 Aliso Creek Rd # 427
Laguna Niguel, CA 92677-3908
Phone (714) 756-6756

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
94029216CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Lou Inc Current Accepting new patients

Locations

23986 Aliso Creek Rd
Laguna Niguel, CA 92677
Phone (714) 514-5855

Organizations & group practices 1

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1134096951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD # 427",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "714-756-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD # 427",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "714-756-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCE",
        "first_name": "KIMBERLY",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "94029216",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "94029216",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "94029216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.