Active NPI
Kimberly B Plattner, OD
- Optometrist
- San Diego, CA
National Provider Identifier
1912034844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9399TPG
- Practice address
- 5990 Santo Rd
San Diego, CA 92124-1192 - Phone
- (858) 571-8835
- Fax
- (858) 571-6364
- NPI assigned
- Feb 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9399TPG | CA | Primary |
Addresses
Primary practice location
5990 Santo Rd
San Diego, CA 92124-1192
Mailing address
PO Box 1457
Rancho Santa Fe, CA 92067-1457
Phone (619) 742-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9399TPG | CA | MD | Optometrist |
| 9399 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1912034844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1457",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920671457",
"telephone_number": "619-742-3937",
"fax_number": "858-756-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 SANTO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921241192",
"telephone_number": "858-571-8835",
"fax_number": "858-571-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATTNER",
"first_name": "KIMBERLY",
"middle_name": "B",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9399TPG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.