MRS. KIMBERLY DIRKS PANGANIBAN LMFT
NPI 1154483816
Marriage & Family Therapist in San Diego, CA

Active since December 15, 2006Opted out of Medicare · through Jan 11, 2028
16935 W BERNARDO DR, SUITE 208, SAN DIEGO, CA 92127(858) 361-6016(858) 451-0333 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Dirks Panganiban Lmft NPPES

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

MRS. KIMBERLY DIRKS PANGANIBAN LMFT (NPI 1154483816) is an individual marriage & family therapist in San Diego, California, licensed in California (MFC52717) and active in the NPI registry since December 2006. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1154483816
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. KIMBERLY DIRKS PANGANIBANCredential: LMFT
Location Address16935 W BERNARDO DR, SUITE 208San Diego, CA 92127-1634
Mailing Address16935 W Bernardo Dr, Suite 208San Diego, CA 92127-1634 · (858) 361-6016 · Fax (858) 451-0333
Fax(858) 451-0333
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 1, 2015
NPI 1154483816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · MFC52717 Licensed in CA · 54218
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
16935 W BERNARDO DR, San Diego, CA 92127

Other Names 1

Former Name (1)Ms. Kimberly Michelle Dirks Imf

Other Identifiers 1

Other9613CA · Medi-cal Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kimberly Dirks Panganiban Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Psychologist (Clinical)
16935 W BERNARDO DR, SUITE 237
SAN DIEGO, CA 92127
Psychologist (Clinical)
16935 W BERNARDO DR, SUITE 208
SAN DIEGO, CA 92127
Marriage & Family Therapist
16935 W BERNARDO DR, SUITE 108
SAN DIEGO, CA 92127
Psychologist
16935 W BERNARDO DR, SUITE 105
SAN DIEGO, CA 92127
Marriage & Family Therapist
16935 W BERNARDO DR
SAN DIEGO, CA 92127
Marriage & Family Therapist
16935 W BERNARDO DR, SUITE 208
SAN DIEGO, CA 92127
Social Worker (Clinical)
16935 W BERNARDO DR, SUITE 237
SAN DIEGO, CA 92127
Marriage & Family Therapist
16935 W BERNARDO DR, 110
SAN DIEGO, CA 92127

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 Panganiban's NPI number?

The NPI number for Kimberly Panganiban is 1154483816. It was assigned to this individual provider in the NPPES registry on December 15, 2006. The provider is also known as Ms. Kimberly Michelle Dirks Imf.

Where is Kimberly Panganiban located?

Kimberly Panganiban practices at 16935 W Bernardo Dr Suite 208, San Diego, CA 92127. The listed phone number is (858) 361-6016.

What is Kimberly Panganiban's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kimberly Panganiban enrolled in Medicare?

No. Kimberly Panganiban has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Panganiban was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.