Active NPI
Wah-Mei Kodimer
- Student in an Organized Health Care Education/Training Program
- Temecula, CA
National Provider Identifier
1164706248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 27720 Jefferson Ave
Ste 101
Temecula, CA 92590-2610 - Phone
- (951) 676-4393
- Fax
- (951) 694-0553
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
27720 Jefferson Ave
Ste 101
Temecula, CA 92590-2610
Mailing address
PO Box 2435
Temecula, CA 92593-2435
Phone (951) 676-4393
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Kodimer PHD Psychological | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Downey, CA
- NPI 1891749727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1164706248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2435",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925932435",
"telephone_number": "951-676-4393",
"fax_number": "951-694-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27720 JEFFERSON AVE",
"address_2": "STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902610",
"telephone_number": "951-676-4393",
"fax_number": "951-694-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODIMER",
"first_name": "WAH-MEI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.