Active NPI
Kimberly Pistell, DO
- Emergency Medicine Physician
- Twentynine Palms, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A23555
- Practice address
- 1145 Sturgis Rd
Twentynine Palms, CA 92278 - Phone
- (760) 830-2190
- NPI assigned
- Apr 11, 2017
- Last updated
- Aug 16, 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 Physician | 207P00000X | 20A23555 | CA | Primary |
Addresses
Primary practice location
1145 Sturgis Rd
Twentynine Palms, CA 92278
Mailing address
1145 Sturgis Road
Twentynine Palms, CA 92278
Phone (410) 453-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23555 | CA | MD | Psychologist |
| 20A23555 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Can Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Carepoint Emergency Medicine Kansas LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700
221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100
2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1477096097
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1265810006
-
- Emergency Medicine Physician
- Tustin, CA
- NPI 1386018356
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755302400000",
"number": "1730612292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 STURGIS ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "410-453-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STURGIS RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "760-830-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTELL",
"first_name": "KIMBERLY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A23555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.