KIMBERLY FANNING-SHILES LMFT
NPI 1063867737
Marriage & Family Therapist in Rancho Cucamonga, CA
About Kimberly Fanning-shiles Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY FANNING-SHILES LMFT (NPI 1063867737) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (98512) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Upland, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Fanning-shiles Lmft 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Fanning-shiles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92122
- Reassigned Medicare billing, California enrollment
- 245 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Fanning-shiles's NPI number?
The NPI number for Kimberly Fanning-shiles is 1063867737. It was assigned to this individual provider in the NPPES registry on April 29, 2016.
Where is Kimberly Fanning-shiles located?
Kimberly Fanning-shiles practices at 7365 Carnelian St Ste. 202, Rancho Cucamonga, CA 91730. The listed phone number is (909) 376-5125.
What is Kimberly Fanning-shiles's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kimberly Fanning-shiles enrolled in Medicare?
Yes. Kimberly Fanning-shiles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimberly Fanning-shiles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fanning-shiles reassigns Medicare benefits to 2 organizations: Sokyahealth Medical Group PC (San Diego, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fanning-shiles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Fanning-shiles was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kimberly Fanning-Shiles, LMFT · NPI 1063867737
Marriage & Family Therapist provider in Rancho Cucamonga, California. Individual provider, active in the CMS NPPES registry since April 29, 2016.
## Identity
- **NPI:** 1063867737 (Entity type: Individual)
- **Enumerated:** April 29, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 98512 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7365 CARNELIAN ST, STE. 202, Rancho Cucamonga, CA 91730-1158
- **Phone:** (909) 376-5125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sokyahealth Medical Group PC (NPI 1942970330, San Diego, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063867737) · Data from the CMS NPPES public registry.