Kevin M. Kinback, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G77412 Issued in CA

Practice address

333 Corporate Dr Ste 260
Ladera Ranch, CA 92694-2180

Phone

(949) 768-2988

Fax

(949) 768-2980

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Francisco Benzl, M.D.

  • Child & Adolescent Psychiatry Physician
  • Mission Viejo, CA
  • NPI 1487032082
  Medicare reassignment
• Adam D. Borecky, MD

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1194389452
  Medicare reassignment
• Thomas Kanianthara Chandy

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1225733785
  Medicare reassignment
• Anthony Dai Duk, MD

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1154439131
  Medicare reassignment
• Karen Egu, PSYD

  • Clinical Psychologist
  • Monterey, CA
  • NPI 1770953143
  Medicare reassignment
• Elham Ehteshami-Hunt, MFT

  • Marriage & Family Therapist
  • Ladera Ranch, CA
  • NPI 1588849749
  Medicare reassignment
• Mohamed El-Menshawi, MD

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1023514445
  Medicare reassignment
• Maryam Hashemiesfahani, APRN

  • Nurse Practitioner
  • Orange, CA
  • NPI 1518364769
  Medicare reassignment
• Kevin Jon Ing, MD

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1437635950
  Medicare reassignment
• Sung Whee Kim, M.D.

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1568031011
  Medicare reassignment
• Lindsey Law, MD

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1861853715
  Medicare reassignment
• Ariana Emily Martinez, MD

  • Psychiatry Physician
  • Loma Linda, CA
  • NPI 1962997908
  Medicare reassignment

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.

• Kevin Kinback

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1912324443
  NPD Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1902014780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7450",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077450",
            "telephone_number": "949-768-2988",
            "fax_number": "949-768-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 260",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942180",
            "telephone_number": "949-768-2988",
            "fax_number": "949-768-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINBACK",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G77412",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "G77412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane G. Khoury, M.D.
• Miranda Kilzi, PHARMD
• Boryang Kim, L.AC
• Howard L Kim, MD
• Kimberly Lou Inc
• Kinnary Patel
• Daniel Bruce Knudson, DC
• Jill Danielle Kopeny
• Jacob Kouatli
• KP Integrative Psychiatry and Wellness Inc

• Psychiatry Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.

Verify at the official NPI Registry.