Individual provider Active NPI

Kathy Yimer, M.D.

  • Pediatrics Physician
  • Folsom, CA
National Provider Identifier
1619223534
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
135515 Issued in CA
Practice address
1014 Riley St Ste 5
Folsom, CA 95630-3264
Phone
(530) 724-6269
Fax
(530) 237-0454
NPI assigned
Jul 29, 2012
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0439201 KS
Pediatrics Physician 208000000X 135515 CA Primary

Addresses

Primary practice location

1014 Riley St Ste 5
Folsom, CA 95630-3264

Mailing address

1014 Riley St Ste 5
Folsom, CA 95630-3264
Phone (530) 724-6269

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824002973 CA Practitioner - Pediatric Medicine 2163716366 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135515CAMDPediatrics Physician
0439201KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Jul 16, 2018 Accepting new patients
Wellspace Health Current Accepting new patients
Rainbow Kids Urgent Care Pediatrics CurrentSince Jul 26, 2023 Accepting new patients
Wellspace Health CurrentSince Jul 16, 2018 Accepting new patients
Wellspace Nexus Past Accepting new patients

Locations

1014 Riley St
Ste 5
Folsom, CA 95630
Phone (530) 724-6269

11333 Prospect Dr
Jackson, CA 95642
Phone (209) 268-0560

151 N Sunrise Ave
Ste 1309
Roseville, CA 95661
Phone (916) 469-4698

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: klewis414343@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1619223534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 RILEY ST STE 5",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303264",
            "telephone_number": "530-724-6269",
            "fax_number": "530-237-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 RILEY ST STE 5",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303264",
            "telephone_number": "530-724-6269",
            "fax_number": "530-237-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIMER",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0439201",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "135515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.