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KIMBERLY BELLEZA
NPI 1104679521
Nurse Practitioner - Family in Riverside, CA

Active since April 08, 2024PECOS Enrolled
4646 BROCKTON AVE STE 202, RIVERSIDE, CA 92506(951) 774-2952 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Apr 8, 2024 (2 updates tracked since 2024).

About Kimberly Belleza NPPES

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

KIMBERLY BELLEZA (NPI 1104679521) is an individual family provider in Riverside, California, licensed in California (95029482) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104679521
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY BELLEZA
Location Address4646 BROCKTON AVE STE 202Riverside, CA 92506-0104
Mailing Address4646 Brockton Ave Ste 202Riverside, CA 92506-0104 · (951) 774-2952
Phone(951) 774-2952
Sole ProprietorYes
Enumeration DateApril 8, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1104679521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95029482
4646 BROCKTON AVE STE 202, Riverside, CA 92506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Belleza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Belleza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Daniel C Solis MD Incorporated
Same address
Internal Medicine
4646 BROCKTON AVE STE 202-1
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1740170125 (951) 394-2328

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DHARA PATEL DO
Internal Medicine
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2881
BETINA GIDEON-GREER M.D.
General Practice
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2942
BETINA GREER MD INC
Family Medicine
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2942
MR. BENEDICT JAMES SAN JOSE MALINAO FNP-C
Nurse Practitioner
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 92506
Riverside County (951) 774-2942
DR. DAISY WU DPM
Podiatrist
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 92506
Riverside County (951) 751-9096
HOWARD A AUBERT MD
Urology
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 92506
Riverside County (951) 585-1800

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 Belleza's NPI number?

The NPI number for Kimberly Belleza is 1104679521. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Kimberly Belleza located?

Kimberly Belleza practices at 4646 Brockton Ave Ste 202, Riverside, CA 92506. The listed phone number is (951) 774-2952.

What is Kimberly Belleza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Belleza enrolled in Medicare?

Yes. Kimberly Belleza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Belleza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Belleza reassigns Medicare benefits to Daniel C Solis MD Incorporated (Riverside, CA). The 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 Belleza'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 Belleza was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.