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KIMBERLEY LUDLOW M.D.
NPI 1215140629
Specialist in Lakewood, CA

Active since May 08, 2007PECOS Enrolled
5203 LAKEWOOD BLVD, LAKEWOOD, CA 90712(562) 633-2273(562) 633-1796 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberley Ludlow M.d. NPPES

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

KIMBERLEY LUDLOW M.D. (NPI 1215140629) is an individual specialist in Lakewood, California, licensed in California (A40146) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215140629
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKIMBERLEY LUDLOWCredential: M.D.
Location Address5203 LAKEWOOD BLVDLakewood, CA 90712-2415
Mailing Address7300 Alondra Blvd Ste 101Paramount, CA 90723-4000 · (562) 531-8300 · Fax (562) 531-8035
Phone(562) 633-2273
Fax(562) 633-1796
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215140629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A40146
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5203 LAKEWOOD BLVD, Lakewood, CA 90712
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley Ludlow M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

MR. CRAIG JOHN CARBONNIERE SR. P.A.
Physician Assistant
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Preferred Provider Organization
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273
EHAB SAMAAN DDS,INC
Dentist
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 531-7373
MS. FLORABEL REYNOSO L.P.T.A
Physical Therapy Assistant
5203 LAKEWOOD BLVD, SUITE B
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273
DR.SAMAAN DENTAL GROUP
Dentist
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 531-7373
SOUTHERN CALIFORNIA IMMEDIATE MEDICAL CENTER
Family Medicine
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2273

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 Kimberley Ludlow's NPI number?

The NPI number for Kimberley Ludlow is 1215140629. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Kimberley Ludlow located?

Kimberley Ludlow practices at 5203 Lakewood Blvd, Lakewood, CA 90712. The listed phone number is (562) 633-2273.

What is Kimberley Ludlow's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kimberley Ludlow enrolled in Medicare?

Yes. Kimberley Ludlow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberley Ludlow 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.