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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY MALYN BURBANK
NPI 1326789470
Family Medicine - Sports Medicine in Santa Monica, CA

Active since April 05, 2022PECOS Enrolled
1225 15TH ST STE 2100, SANTA MONICA, CA 90404(310) 319-1234 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Malyn Burbank NPPES

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

KIMBERLY MALYN BURBANK (NPI 1326789470) is an individual sports medicine provider in Santa Monica, California, licensed in California (A202779) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2022).

NPPES Registry Identity

NPI1326789470
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameKIMBERLY MALYN BURBANK
Location Address1225 15TH ST STE 2100Santa Monica, CA 90404-1101
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 319-1234
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1326789470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A202779
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1225 15TH ST STE 2100, Santa Monica, CA 90404
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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)

Kimberly Malyn Burbank is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163804899
PECOS Enrollment IDI20251221000121
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 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

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. SHANE ALAN HERVEY MD
Family Medicine
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DANIEL JIE WENG
Physical Medicine & Rehabilitation
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DR. WEI KANG WU M.D.
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
MADELINE SHAOYUN TIEE
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
AMANDA MARIE HONSVALL HOEFLER M.D.
Family Medicine (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
DR. FRANK ANTHONY PETRIGLIANO MD
Orthopaedic Surgery (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
FANG JIANG
Physician Assistant (Surgical)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (310) 319-1234
SHAHRZAD SALARKIA
Nurse Practitioner (Family)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Los Angeles County (424) 259-6560

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 Burbank's NPI number?

The NPI number for Kimberly Burbank is 1326789470. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Kimberly Burbank located?

Kimberly Burbank practices at 1225 15th St Ste 2100, Santa Monica, CA 90404. The listed phone number is (310) 319-1234.

What is Kimberly Burbank's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kimberly Burbank enrolled in Medicare?

Yes. Kimberly Burbank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Burbank was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.