Active NPI
Dr Kim Byers-Lund
- Family Medicine Physician
- Coronado, CA
National Provider Identifier
1972116382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DR KIM BYERS-LUND
- Practice address
- 230 Prospect PL Ste 220
Coronado, CA 92118-1978 - Phone
- (619) 507-0279
- NPI assigned
- Aug 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Byers-Lund, DO
- Title
- Owner
- Phone
- (619) 507-0279
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
230 Prospect PL Ste 220
Coronado, CA 92118-1978
Mailing address
230 Prospect PL Ste 220
Coronado, CA 92118-1978
Phone (619) 507-0279
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kimberlybyers-lund@kbl.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201112001282 | CA | Part B Supplier - Clinic/Group Practice | 1456761931 |
Receives reassigned benefits from 3 practitioners Practice locations: Coronado, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1972116382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 PROSPECT PL STE 220",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181978",
"telephone_number": "619-507-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 PROSPECT PL STE 220",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181978",
"telephone_number": "619-507-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR KIM BYERS-LUND",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-25",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "BYERS-LUND",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-507-0279",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kimberlybyers-lund@kbl.allscriptsdirect.net",
"affiliation": "N",
"address_1": "230 Prospect Pl Ste 220",
"city": "Coronado",
"state": "CA",
"country_code": "US",
"postal_code": "921181978",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.