Individual provider Active NPI

Kimberly K Lovato, PA

  • Physician Assistant
  • Hillsboro, OR
National Provider Identifier
1881744498
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01186 Issued in OR
Practice address
705 SE Baseline St
Hillsboro, OR 97123-4244
Phone
(503) 352-7333
Fax
(971) 266-2956
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01186 OR
Physician Assistant 363A00000X PA01186 OR Primary

Addresses

Primary practice location

705 SE Baseline St
Hillsboro, OR 97123-4244

Mailing address

190 SE 8TH Ave # a-201
Hillsboro, OR 97123-4216
Phone (503) 352-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000556 OR Practitioner - Physician Assistant 5698879831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

1411 SW Morrison St
Suite 310
Portland, OR 97205-1945
Phone (503) 352-2400

222 SE 8TH Ave
Hillsboro, OR 97123-4218

705 SE Baseline St
Hillsboro, OR 97123-4244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01186ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific University CurrentSince Nov 8, 2022 Accepting new patients
Pacific University CurrentSince Nov 8, 2022 Accepting new patients

Locations

2043 College Way
#A134
Forest Grove, OR 97116

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060

1411 SW Morrison St
Ste 310
Portland, OR 97205

Interoperability endpoints

  • Direct secure messaging: klovato345902@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1881744498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SE 8TH AVE # A-201",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234216",
            "telephone_number": "503-352-7333",
            "fax_number": "971-266-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234244",
            "telephone_number": "503-352-7333",
            "fax_number": "971-266-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVATO",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01186",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.