Individual provider Active NPI

Kimberly Diane Freeman, M.D

  • General Practice Physician
  • Jamestown, CA
National Provider Identifier
1801830070
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A81141 Issued in CA
Practice address
18144 Seco St
Jamestown, CA 95327-9498
Phone
(209) 984-4820
NPI assigned
Jun 16, 2006
Last updated
Mar 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000884 CA Practitioner - Emergency Medicine 2961470513 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81141CAMDPharmacist
A81141CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 30, 2006 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 30, 2006 Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2025 Accepting new patients
Sierra Emergency Medical Group Inc. Emergency Medicine CurrentSince Apr 1, 2009 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Mathiesen Memorial Health Center PastSince Jun 5, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.