Individual provider Active NPI

Kimberly Pistell, DO

  • Emergency Medicine Physician
  • Twentynine Palms, CA
National Provider Identifier
1730612292
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A23555 Issued in CA
Practice address
1145 Sturgis Rd
Twentynine Palms, CA 92278
Phone
(760) 830-2190
NPI assigned
Apr 11, 2017
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250115002776 CA Practitioner - Emergency Medicine 7214465475 Reassigns benefits to 1 organization
I20260130001409 KS Practitioner - Emergency Medicine 7214465475 Reassigns benefits to 1 organization

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
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

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

LicenseStateTypeSpecialty
23555CAMDPsychologist
20A23555CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Dec 27, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.