Active NPI
Kimberly Ponton Crowe, MD
- Psychiatry Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A105986
- Practice address
- 18646 Oxnard St
Tarzana, CA 91356-1486 - Phone
- (818) 996-1051
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A105986 | CA | Primary |
Addresses
Primary practice location
18646 Oxnard St
Tarzana, CA 91356-1486
Mailing address
18646 Oxnard St
Tarzana, CA 91356-1486
Phone (818) 996-1051
Other names 1
- Dr. Kimberly Marie Ponton
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110719000345 | CA | Practitioner - Psychiatry | 7113195140 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tarzana Treatment Centers Inc
Practice addresses (Care Compare)
5190 Atlantic Ave
Long Beach, CA 90805-6510
Phone (800) 996-1051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105986 | CA | MD | Psychiatry Physician |
| 105986 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients | |
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients | |
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients |
Locations
2101 Magnolia Ave
Long Beach, CA 90806
Phone (562) 218-1868
5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111
18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815
18700 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3950
6022 Variel Ave
Woodland Hills, CA 91367
Phone (818) 274-0304
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Tarzana, CA
- NPI 1073951216
-
- Multi-Specialty Clinic/Center
- Palmdale, CA
- NPI 1619702099
-
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1003941683
-
- Medical Specialty Clinic/Center
- Palmdale, CA
- NPI 1285930396
-
- Psychiatric Hospital
- Tarzana, CA
- NPI 1396076147
-
- Multi-Specialty Clinic/Center
- Northridge, CA
- NPI 1427043389
-
- General Practice Dentistry
- Reseda, CA
- NPI 1538901566
-
- Substance Abuse Rehabilitation Facility
- Lancaster, CA
- NPI 1881710861
-
- Federally Qualified Health Center (FQHC)
- Reseda, CA
- NPI 1891449989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1861639239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18646 OXNARD ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561486",
"telephone_number": "818-996-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18646 OXNARD ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561486",
"telephone_number": "818-996-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "KIMBERLY",
"middle_name": "PONTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A105986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "PONTON",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.