Kimberly Hicks, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G79714 Issued in CA

Practice address

3317 Elm St
Suite 102
Oakland, CA 94609-3052

Phone

(510) 595-9880

Fax

(510) 595-9881

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1972661254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 ELM ST",
            "address_2": "SUITE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093052",
            "telephone_number": "510-595-9880",
            "fax_number": "510-595-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 ELM ST",
            "address_2": "SUITE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093052",
            "telephone_number": "510-595-9880",
            "fax_number": "510-595-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Janay Hicks
• Jennifer Lara Bianca Hicks, M.A.
• Jonathan Karl Hicks
• Kathleen Hicks
• Kathleen Joy Hicks, M.D.
• Matthew Ronald Hicks, LCSW
• Shari Renee Hicks, PSYD
• Alani Lu Hidalgo, RRT, RCP
• Angela Hiebert, RN, MN, NP-C
• Soheyla Hifai

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, 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 Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.