DR. JON ADAM KIMBALL M.D.
NPI 1053720565
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Los Angeles, CA

Q: What is Jon Kimball's NPI number?

The NPI number for Jon Kimball is 1053720565. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Q: What is Jon Kimball's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Jon Kimball was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2014PECOS EnrolledAccepts Medicare Assignment

1520 SAN PABLO ST STE 2000, LOS ANGELES, CA 90033(323) 442-5860 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2020, Jul 9, 2019 (2 updates tracked since 2019).

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About Dr. Jon Adam Kimball M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON ADAM KIMBALL M.D. (NPI 1053720565) is an individual orthopaedic surgery of the spine provider in Los Angeles, California, licensed in California (A139792) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1053720565

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. JON ADAM KIMBALLCredential: M.D.

Location Address1520 SAN PABLO ST STE 2000Los Angeles, CA 90033-5322

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5860

Phone(323) 442-5860

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2014

Enumeration DateAugust 8, 2014

Last NPPES UpdateJune 19, 20202 updates tracked since enumeration

NPPES CertifiedJune 19, 2020

✔ NPI 1053720565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in CA · A139792

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 11723472-1205 (UT)

1520 SAN PABLO ST STE 2000, Los Angeles, CA 90033

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Secondary Practice Location 1

Location 11055 N 300 W Ste 400Provo, UT 84604-3359 · Phone (801) 655-4117

Other Identifiers 1

Other390200000XCA · Student, Health Care (390200000x)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jon Adam Kimball M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678809407

PECOS Enrollment IDI20200629003542

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

213 services126 patients

Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days 98977

This service involves providing a device that records and transmits data about your musculoskeletal system remotely. For 30 days, it tracks your body's musculoskeletal health, allowing for timely interventions if needed. It's a non-invasive way to monitor your health continuously.

139 services29 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

59 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services25 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

24 services24 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

23 services23 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

21 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

15 services15 patients

Incision or removal of lower spine bone segment 22214

This procedure involves making a small incision in the lower back to access the spine. A segment of bone may be removed to relieve pressure on nerves, improve mobility, or treat conditions like herniated discs or spinal stenosis. Recovery varies, but physical therapy may follow.

13 services13 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460019

Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County

Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460043

Location331 North 400 WestOrem, UT 84057 · Utah County

Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460062

Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADITYA MURALIDHARAN MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)