Individual provider Active NPI

Nancy Diane Kimber, M.D.

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1699789792
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A65877 Issued in CA
Practice address
3851 Katella Ave Ste 300
Los Alamitos, CA 90720-3566
Phone
(562) 430-0805
Fax
(562) 430-0806
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A65877 CA Primary

Addresses

Primary practice location

3851 Katella Ave Ste 300
Los Alamitos, CA 90720-3566

Mailing address

3851 Katella Ave Ste 300
Los Alamitos, CA 90720-3566
Phone (562) 430-0805

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
I20041220000825 CA Practitioner - Obstetrics/Gynecology 8426016627 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65877CAMDPharmacist
A65877CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Apr 29, 2014 Accepting new patients
First Choice Physician Partners CurrentSince Apr 29, 2014 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology Current Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology Past Accepting new patients

Locations

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

10861 Cherry St
Ste 206
Los Alamitos, CA 90720
Phone (562) 430-0805

3851 Katella Ave
Ste 300
Los Alamitos, CA 90720
Phone (562) 429-9433

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1699789792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 300",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203566",
            "telephone_number": "562-430-0805",
            "fax_number": "562-430-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 300",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203566",
            "telephone_number": "562-430-0805",
            "fax_number": "562-430-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBER",
        "first_name": "NANCY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A65877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.