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MS. KATHY TIALDIMPAR LEWIS NURSE PRACTITIONER
NPI 1285348987
Nurse Practitioner - Family in San Diego, CA

Active since January 09, 2023PECOS Enrolled
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 255-9155 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Jan 9, 2023 (2 updates tracked since 2023).

About Ms. Kathy Tialdimpar Lewis Nurse Practitioner NPPES

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

MS. KATHY TIALDIMPAR LEWIS NURSE PRACTITIONER (NPI 1285348987) is an individual family provider in San Diego, California, licensed in California (95025965) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285348987
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHY TIALDIMPAR LEWISCredential: NURSE PRACTITIONER
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 255-9155
Phone(619) 255-9155
Sole ProprietorNo
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1285348987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95025965✔ Licensed in MD · R218145
4060 FAIRMOUNT AVE, San Diego, CA 92105
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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 (PECOS)

Ms. Kathy Tialdimpar Lewis Nurse Practitioner 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

DR. DORA DOAN O.D.
Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 961-0803
DIANA P ALVAREZ MSW
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 295-6047
ANTOINETTE KIM LIEU PHARMD
Pharmacist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-7013
KALEELAH RAE, NAJA MUHAMMAD
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 280-4213
DR. ADLA TESSIER M.D.
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
San Diego County (619) 255-9155
CYNTHIA MIRANDA PSYD
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-8765
TONYA DANIELLE DANIEL LCSW
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-1612
SAMANTHA GOGGIN MD
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 255-9154

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 Kathy Lewis's NPI number?

The NPI number for Kathy Lewis is 1285348987. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Kathy Lewis located?

Kathy Lewis practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 255-9155.

What is Kathy Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathy Lewis enrolled in Medicare?

Yes. Kathy Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Lewis was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.