Active NPI
Kimberly Hoover, LAC
- Acupuncturist
- Penn Valley, CA
National Provider Identifier
1700893773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 4093
- Practice address
- 13779 Falling Leaf LN
Penn Valley, CA 95946-9350 - Phone
- (619) 992-8068
- NPI assigned
- Aug 2, 2006
- Last updated
- Dec 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 4093 | CA | Primary |
Addresses
Primary practice location
13779 Falling Leaf LN
Penn Valley, CA 95946-9350
Mailing address
PO Box 1625
Penn Valley, CA 95946-1625
Phone (619) 992-8068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAC000250 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Hoover L.Ac. | Acupuncturist | Current | Accepting new patients |
Locations
2852 Adams Ave
San Diego, CA 92116
Phone (619) 548-0701
Organizations & group practices 1
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": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1700893773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1625",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959461625",
"telephone_number": "619-992-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13779 FALLING LEAF LN",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469350",
"telephone_number": "619-992-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "4093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GAC000250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Penn Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.