KIMBERLY ANN FODRAN M.D.
NPI 1114034055
Family Medicine in Anaheim, CA

Active since August 24, 2006
411 N LAKEVIEW AVE, MEDICAL STAFF SERVICES, ANAHEIM, CA 92807(714) 279-5616 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Fodran M.d. NPPES

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

KIMBERLY ANN FODRAN M.D. (NPI 1114034055) is an individual family medicine provider in Anaheim, California, licensed in California (A96275) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114034055
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY ANN FODRANCredential: M.D.
Location Address411 N LAKEVIEW AVE, MEDICAL STAFF SERVICESAnaheim, CA 92807-3028
Mailing AddressPo Box 41637Long Beach, CA 90853-1637
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114034055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A96275
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.
411 N LAKEVIEW AVE, Anaheim, CA 92807

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.

Pharmacist
411 N LAKEVIEW AVE, KAISER PERMANENTE ANTICOAGULATION SERVICE
ANAHEIM, CA 92807
Internal Medicine (Rheumatology)
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Social Worker (Clinical)
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Marriage & Family Therapist
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Internal Medicine (Rheumatology)
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Physical Therapist
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Family Medicine
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Pharmacist
411 N LAKEVIEW AVE
ANAHEIM, CA 92807

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 Fodran's NPI number?

The NPI number for Kimberly Fodran is 1114034055. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Kimberly Fodran located?

Kimberly Fodran practices at 411 N Lakeview Ave Medical Staff Services, Anaheim, CA 92807. The listed phone number is (714) 279-5616.

What is Kimberly Fodran's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Fodran 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.