Active NPI
Davis Kipkemboi Kimaiyo, MD
- Cardiovascular Disease Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A192030
- Practice address
- 535 Mission Bay Blvd S
San Francisco, CA 94143-2156 - Phone
- (415) 353-2873
- Fax
- (415) 353-2528
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A192030 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
535 Mission Bay Blvd S
San Francisco, CA 94143-2156
Mailing address
211 S Beach Blvd SPC 98
Anaheim, CA 92804-1840
Phone (714) 650-4298
Other practice location 1
211 S Beach Blvd Spc 98
Anaheim, CA 92804-1840
Phone (714) 650-4298
Other practice location 2
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of California, Geffen School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
490 Illinoi St 6TH Floor RM
600A 6TH Floor
San Francisco, CA 94143
490 Illinois St
FL 6
San Francisco, CA 94143-2510
535 Mission Bay Blvd S
San Francisco, CA 94143-2156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1336775279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S BEACH BLVD SPC 98",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041840",
"telephone_number": "714-650-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MISSION BAY BLVD S",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432156",
"telephone_number": "415-353-2873",
"fax_number": "415-353-2528"
}
],
"practiceLocations": [
{
"address_1": "211 S Beach Blvd Spc 98",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928041840",
"country_code": "US",
"telephone_number": "714-650-4298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMAIYO",
"first_name": "DAVIS",
"middle_name": "KIPKEMBOI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A192030",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.