Active NPI
Kimberly Jones, MSOP, CPO
- Orthotist
- Redlands, CA
National Provider Identifier
1245979889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CPO03850
- Practice address
- 1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127 - Phone
- (909) 798-5853
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CPO03850 | ||
| Orthotist | 222Z00000X | CPO03850 | Primary |
Addresses
Primary practice location
1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Mailing address
1849 W Redlands Blvd Ste 103
Redlands, CA 92373-3127
Phone (909) 798-5853
Other names 1
- Ms. Kimberly Petersen
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 |
|---|---|---|---|
| Hanger Prosthetics & Orthotics West, Inc. | Current | Accepting new patients | |
| Redlands Prosthetic & Orthotic Group Inc | Orthotist | Current | Accepting new patients |
| Redlands Prosthetic & Orthotic Group Inc | Orthotist | Past | Accepting new patients |
| Hanger Prosthetics & Orthotics West Inc. | Orthotist | Past | Accepting new patients |
Locations
3024 W Florida Ave
Hemet, CA 92545
Phone (951) 766-7626
1849 W Redlands Blvd
Ste 103
Redlands, CA 92373
Phone (909) 798-5853
Organizations & group practices 4
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.
-
- Prosthetic/Orthotic Supplier
- Hemet, CA
- NPI 1760662092
-
- Prosthetic/Orthotic Supplier
- Murrieta, CA
- NPI 1548074909
Orthotist
-
- Prosthetic/Orthotic Supplier
- Redlands, CA
- NPI 1508845702
Orthotist
-
- Prosthetic/Orthotic Supplier
- Wailuku, HI
- NPI 1801695234
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1245979889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 W REDLANDS BLVD STE 103",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733127",
"telephone_number": "909-798-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 W REDLANDS BLVD STE 103",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733127",
"telephone_number": "909-798-5853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "MSOP, CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": "CPO03850",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": "CPO03850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "PETERSEN",
"prefix": "MS.",
"credential": "MSOP, CPO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.