KIMBERLY HAGEN TILLAR R.N.
NPI 1104944420
Registered Nurse - Oncology in Santa Monica, CA

Active since March 26, 2007
2021 SANTA MONICA BLVD, SUIT 400E, SANTA MONICA, CA 90404(310) 453-5654 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Hagen Tillar R.n. NPPES

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

KIMBERLY HAGEN TILLAR R.N. (NPI 1104944420) is an individual oncology provider in Santa Monica, California, licensed in California (375548) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104944420
Entity TypeIndividualFemale
Primary Taxonomy163WX0200X
Provider Legal NameKIMBERLY HAGEN TILLARCredential: R.N.
Location Address2021 SANTA MONICA BLVD, SUIT 400ESanta Monica, CA 90404-2208
Mailing Address7819 Bleriot AveLos Angeles, CA 90045-2904 · (310) 649-3239
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104944420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · OncologyNursing Service Providers
Taxonomy Code163WX0200X
License Licensed in CA · 375548
2021 SANTA MONICA BLVD, Santa Monica, CA 90404

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.

Dermatology
2021 SANTA MONICA BLVD, SUITE 600E
SANTA MONICA, CA 90404
Dentist
2021 SANTA MONICA BLVD, SUITE 500E
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
2021 SANTA MONICA BLVD, SUITE 600 EAST
SANTA MONICA, CA 90404
Internal Medicine
2021 SANTA MONICA BLVD, SUITE 710
SANTA MONICA, CA 90404
Ophthalmology
2021 SANTA MONICA BLVD, SUITE # 720E
SANTA MONICA, CA 90404
Specialist
2021 SANTA MONICA BLVD, STE 730E
SANTA MONICA, CA 90404
Obstetrics & Gynecology
2021 SANTA MONICA BLVD, SUITE 304E
SANTA MONICA, CA 90404
Internal Medicine (Cardiovascular Disease)
2021 SANTA MONICA BLVD, SUITE 212E
SANTA MONICA, CA 90404

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 Tillar's NPI number?

The NPI number for Kimberly Tillar is 1104944420. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kimberly Tillar located?

Kimberly Tillar practices at 2021 Santa Monica Blvd Suit 400E, Santa Monica, CA 90404. The listed phone number is (310) 453-5654.

What is Kimberly Tillar's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Oncology, with taxonomy code 163WX0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Tillar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.