Kim L Peters, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A41379 Issued in CA

Practice address

2030 Viborg Road
Suite 205
Solvang, CA 93463-2298

Phone

(805) 688-2600

Fax

(805) 693-8109

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kim Langell Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• American Indian Health & Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1740222934
  Medicare reassignment NPD
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972617926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 VIBORG ROAD",
            "address_2": "SUITE 205",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632298",
            "telephone_number": "805-688-2600",
            "fax_number": "805-693-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 VIBORG ROAD",
            "address_2": "SUITE 205",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632298",
            "telephone_number": "805-688-2600",
            "fax_number": "805-693-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A413790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "LANGELL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Elizabeth Carolyn Pedersen, N.D., PHARM.D.
• People Helping People
• Adam Scott Pollenz, D.C.
• Christina L Pouquette, PHD
• Beverly Raff, LMFT
• Susannah Elizabeth Rake, MA, AMFT
• Steven Reichel, MD

• Internal Medicine Physician in Solvang, CA
• Providers in Solvang, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.