Individual provider Active NPI

Kimberly Dionne Oja, NP

  • Adult Health Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1396245064
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
85124 Issued in NM
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 378-4517
Fax
(925) 273-7255
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 85124 NM Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191213000426 CA Practitioner - Nurse Practitioner 2668805177 Reassigns benefits to 1 organization
I20260106003384 NM Practitioner - Nurse Practitioner 2668805177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

465 Saint Michaels Dr
Suite 110
Santa Fe, NM 87505-7670
Phone (505) 982-3534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
85124NMMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Oct 30, 2019 Accepting new patients
Bass Medical Group CurrentSince Oct 30, 2019 Accepting new patients
Bass Medical Group Current Accepting new patients
St. Vincent Hospital CurrentSince Nov 1, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

465 St Michaels Dr 110
Christus St Vincent
Santa Fe, NM 87505

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 St Michaels Dr 110
Christus St Vincent
Santa Fe, NM 87505
Phone (505) 982-3534

Interoperability endpoints

  • Direct secure messaging: koja637913@christushealth.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1396245064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-378-4517",
            "fax_number": "925-273-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-378-4517",
            "fax_number": "925-273-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJA",
        "first_name": "KIMBERLY",
        "middle_name": "DIONNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "85124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.