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KATIE LAM KIMPAU
NPI 1093516676
Student in an Organized Health Care Education/Training Program in Mission Viejo, CA

Active since March 20, 2025PECOS Enrolled
22722 ALTURAS DR, MISSION VIEJO, CA 92691(949) 870-5017 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 9, 2025, Mar 20, 2025 (2 updates tracked since 2025).

About Katie Lam Kimpau NPPES

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

KATIE LAM KIMPAU (NPI 1093516676) is an individual student in an organized health care education/training program in Mission Viejo, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2026).

NPPES Registry Identity

NPI1093516676
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATIE LAM KIMPAU
Location Address22722 ALTURAS DRMission Viejo, CA 92691-1903
Mailing Address22722 Alturas DrMission Viejo, CA 92691-1903
Phone(949) 870-5017
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2026
Enumeration DateMarch 20, 2025
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1093516676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22722 ALTURAS DR, Mission Viejo, CA 92691
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lam Kimpau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496228272
PECOS Enrollment IDI20260716003375
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.

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 Katie Kimpau's NPI number?

The NPI number for Katie Kimpau is 1093516676. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Katie Kimpau located?

Katie Kimpau practices at 22722 Alturas Dr, Mission Viejo, CA 92691. The listed phone number is (949) 870-5017.

What is Katie Kimpau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katie Kimpau enrolled in Medicare?

Yes. Katie Kimpau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Kimpau was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.