Active NPI
Kimberly Pauline Horstman, MD
- Pediatrics Physician
- Fremont, CA
National Provider Identifier
1760549448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A81010
- Practice address
- 2000 Mowry Ave
Fremont, CA 94538-1716 - Phone
- (510) 818-6272
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A81010 | CA | Primary |
Addresses
Primary practice location
2000 Mowry Ave
Fremont, CA 94538-1716
Mailing address
650 61St St
Oakland, CA 94609-1206
Phone (510) 658-7430
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81010 | CA | MD | Mental Health Counselor |
| A81010 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
Locations
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Interoperability endpoints
- khorstman13609@direct.whhs.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760549448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 61ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091206",
"telephone_number": "510-658-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381716",
"telephone_number": "510-818-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMAN",
"first_name": "KIMBERLY",
"middle_name": "PAULINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A81010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.