Active NPI
Kimberly Diane Freeman, M.D
- General Practice Physician
- Jamestown, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A81141
- Practice address
- 18144 Seco St
Jamestown, CA 95327-9498 - Phone
- (209) 984-4820
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A81141 | CA | |
| General Practice Physician | 208D00000X | A81141 | CA | Primary |
Addresses
Primary practice location
18144 Seco St
Jamestown, CA 95327-9498
Mailing address
PO Box 4989
Sonora, CA 95370-1989
Phone (209) 213-9192
Other practice location 1
1000 Greenley Rd
Sonora, CA 95370-5200
Phone (209) 536-3460
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 |
|---|---|---|---|
| 81141 | CA | MD | Pharmacist |
| A81141 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Sierra Emergency Medical Group Inc. | Emergency Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Mathiesen Memorial Health Center | Past | Accepting new patients | |
| Six Rivers Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
23 N Main St
Angels Camp, CA 95222
Phone (209) 736-9130
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- kimberly.freeman.p1@direct.mathiesenmemorialhc.nextgenshare.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Emergency Medicine Physician
- Sonora, CA
- NPI 1871732933
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Urgent Care Clinic/Center
- Angels Camp, CA
- NPI 1780362616
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Prompt Care Indian Rock
- Urgent Care Clinic/Center
- Sonora, CA
- NPI 1962493791
-
- Primary Care Clinic/Center
- Jamestown, CA
- NPI 1356080022
-
- Emergency Medicine Physician
- Arcata, CA
- NPI 1396786026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1801830070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4989",
"city": "SONORA",
"state": "CA",
"postal_code": "953701989",
"telephone_number": "209-213-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18144 SECO ST",
"city": "JAMESTOWN",
"state": "CA",
"postal_code": "953279498",
"telephone_number": "209-984-4820"
}
],
"practiceLocations": [
{
"address_1": "1000 Greenley Rd",
"address_purpose": "LOCATION",
"city": "Sonora",
"state": "CA",
"postal_code": "953705200",
"country_code": "US",
"telephone_number": "209-536-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "KIMBERLY",
"middle_name": "DIANE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A81141",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A81141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.