KIMBERLY ELIZONDO - NPI 1184275679 - Rehabilitation Practitioner in San Rafael, CA

Q: What is Kimberly Elizondo's NPI number?

The NPI number for Kimberly Elizondo is 1184275679. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Q: What is Kimberly Elizondo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Elizondo was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly Elizondo NPPES

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

KIMBERLY ELIZONDO (NPI 1184275679) is an individual rehabilitation practitioner in San Rafael, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1184275679

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameKIMBERLY ELIZONDO

Location Address3230 KERNER BLVDSan Rafael, CA 94901-4840

Mailing Address3230 Kerner BlvdSan Rafael, CA 94901-4840 · (628) 305-7066

Phone(628) 305-7066

Sole ProprietorNo

Enumeration DateSeptember 25, 2019

Last NPPES UpdateMay 8, 20265 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1184275679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

3230 KERNER BLVD, San Rafael, CA 94901

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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.

ELIZABETH MAGID MSW

Social Worker