JEANNE DIANE KIMURA PSYD
NPI 1205139268
Psychologist - Clinical in Costa Mesa, CA

Q: What is Jeanne Kimura's NPI number?

The NPI number for Jeanne Kimura is 1205139268. It was assigned to this individual provider in the NPPES registry on December 14, 2010.

Q: What is Jeanne Kimura's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeanne Kimura was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 14, 2010PECOS EnrolledAccepts Medicare Assignment

370 AVOCADO ST APT 7, COSTA MESA, CA 92627(714) 469-6700 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeanne Diane Kimura Psyd NPPES

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

JEANNE DIANE KIMURA PSYD (NPI 1205139268) is an individual clinical provider in Costa Mesa, California, licensed in California (PSY33292) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205139268

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJEANNE DIANE KIMURACredential: PSYD

Location Address370 AVOCADO ST APT 7Costa Mesa, CA 92627-1671

Mailing Address370 Avocado St Apt 7Costa Mesa, CA 92627-1671 · (714) 469-6700

Phone(714) 469-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 14, 2010

Last NPPES UpdateJune 6, 2022

NPPES CertifiedJune 2, 2022

✔ NPI 1205139268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY33292

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X

370 AVOCADO ST APT 7, Costa Mesa, CA 92627

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanne Diane Kimura Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890175988

PECOS Enrollment IDI20220707000879

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jeanne Kimura's NPI number?

The NPI number for Jeanne Kimura is 1205139268. It was assigned to this individual provider in the NPPES registry on December 14, 2010.

Where is Jeanne Kimura located?

Jeanne Kimura practices at 370 Avocado St Apt 7, Costa Mesa, CA 92627. The listed phone number is (714) 469-6700.

What is Jeanne Kimura's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeanne Kimura enrolled in Medicare?

Yes. Jeanne Kimura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeanne Kimura was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.