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KIMIKO SNIDER,M.D.,INC
NPI 1083450530
Family Medicine in Newport Beach, CA

Active since July 03, 2024
1401 AVOCADO AVE STE 608, NEWPORT BEACH, CA 92660(949) 640-4455(949) 640-4456 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2025, Jul 3, 2024 (2 updates tracked since 2024).

About Kimiko Snider,m.d.,inc NPPES

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

KIMIKO SNIDER,M.D.,INC (NPI 1083450530) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since July 2024. The organization lists Kimiko Snider, Owner, as its authorized official.

NPPES Registry Identity

NPI1083450530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIMIKO SNIDER,M.D.,INC
Location Address1401 AVOCADO AVE STE 608Newport Beach, CA 92660-8719
Mailing Address360 San Miguel Dr Ste 206Newport Beach, CA 92660-7820 · (949) 640-4455 · Fax (949) 640-4456
Phone(949) 640-4455
Fax(949) 640-4456
Organization SubpartNo
Authorized OfficialKimiko SniderOwner · (949) 514-4709
Enumeration DateJuly 3, 2024
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1083450530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1401 AVOCADO AVE STE 608, Newport Beach, CA 92660
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimiko Snider,m.d.,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kimiko Snider,m.D.,inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimiko Snider, M.D.
Family Practice
NPI 1336343276
360 SAN MIGUEL DR SUITE 206
Newport Beach, CA 92660
(949) 640-4455
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kimiko Snider,m.D.,inc's NPI number?

The NPI number for Kimiko Snider,m.D.,inc is 1083450530. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is Kimiko Snider,m.D.,inc located?

Kimiko Snider,m.D.,inc is located at 1401 Avocado Ave Ste 608, Newport Beach, CA 92660. The listed phone number is (949) 640-4455.

What is Kimiko Snider,m.D.,inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimiko Snider,m.D.,inc enrolled in Medicare?

Yes. Kimiko Snider,m.D.,inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kimiko Snider,m.D.,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kimiko Snider,m.D.,inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kimiko Snider,m.D.,inc was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.