Active NPI
Kimberley Ludlow, M.D.
- Specialist
- Lakewood, CA
National Provider Identifier
1215140629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A40146
- Practice address
- 5203 Lakewood Blvd
Lakewood, CA 90712-2415 - Phone
- (562) 633-2273
- Fax
- (562) 633-1796
- NPI assigned
- May 8, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A40146 | CA | Primary |
Addresses
Primary practice location
5203 Lakewood Blvd
Lakewood, CA 90712-2415
Mailing address
7300 Alondra Blvd Ste 101
Paramount, CA 90723-4000
Phone (562) 531-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Emergency Services, Inc. | Multi-Specialty | Past | Accepting new patients |
| Carilion Emergency Services, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba VelocityCare
- Urgent Care Clinic/Center
- Roanoke, VA
- NPI 1255602694
Multi-Specialty
-
dba VelocityCare
- Urgent Care Clinic/Center
- Christiansburg, VA
- NPI 1598533879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215140629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 ALONDRA BLVD STE 101",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907234000",
"telephone_number": "562-531-8300",
"fax_number": "562-531-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 LAKEWOOD BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122415",
"telephone_number": "562-633-2273",
"fax_number": "562-633-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLOW",
"first_name": "KIMBERLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A40146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.