Active NPI
Kimberly Won
- Emergency Medicine Pharmacist
- San Diego, CA
National Provider Identifier
1518854579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Pharmacist
- License
- 71763
- Practice address
- 4520 Executive Dr Ste P2
San Diego, CA 92121-3028 - Phone
- (844) 757-5337
- NPI assigned
- Jun 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Pharmacist | 1835E0208X | 71763 | CA | Primary |
Addresses
Primary practice location
4520 Executive Dr Ste P2
San Diego, CA 92121-3028
Mailing address
9255 Pharmacy LN
La Jolla, CA 92093-0001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71763 | CA | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1518854579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9255 PHARMACY LN",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920930001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 EXECUTIVE DR STE P2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213028",
"telephone_number": "844-757-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835E0208X",
"taxonomy_group": "",
"desc": "Pharmacist, Emergency Medicine",
"state": "CA",
"license": "71763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.