KIMBERLY CASIANO MENDENHALL PNP
NPI 1114646759
Nurse Practitioner - Pediatrics in Los Angeles, CA
About Kimberly Casiano Mendenhall Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY CASIANO MENDENHALL PNP (NPI 1114646759) is an individual pediatrics provider in Los Angeles, California, licensed in California (95022072) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Casiano Mendenhall Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Mendenhall's NPI number?
The NPI number for Kimberly Mendenhall is 1114646759. It was assigned to this individual provider in the NPPES registry on August 25, 2022.
Where is Kimberly Mendenhall located?
Kimberly Mendenhall practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 267-7540.
What is Kimberly Mendenhall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kimberly Mendenhall enrolled in Medicare?
Yes. Kimberly Mendenhall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kimberly Mendenhall was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberly Casiano Mendenhall, PNP · NPI 1114646759
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1114646759 (Entity type: Individual)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95022072 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-8358
- **Phone:** (310) 267-7540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114646759) · Data from the CMS NPPES public registry.