Kimberly Isberto, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

23503 Issued in CA

Practice address

1401 Avocado Ave Ste 709
Newport Beach, CA 92660

Phone

(949) 759-1720

Fax

(949) 759-1442

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1295160182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 709",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608714",
            "telephone_number": "497-591-7209",
            "fax_number": "949-759-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 709",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-759-1720",
            "fax_number": "949-759-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 S Bristol St",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927045751",
            "country_code": "US",
            "telephone_number": "714-754-1444",
            "fax_number": "714-754-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISBERTO",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "23503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REGISTERED NURSING NP FURNISHING",
            "identifier": "23503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tze Yung Ip, MD
• Ira Vidor, M.D., a Professional Corporation
• Andrew S Iraniha, M.D.,F.A.C.S
• Leila M Iravani, M.D
• Rachel M Irish, PHD
• Taryn Ishida, ARNP
• Yuichi Ishida, M.D.
• Srijeeta F Islam
• Island Dermatology, Inc
• Yazmin Islas Lopez

• Pediatric Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.