DR. KIMBERLY JUNE LIGHT-ALLENDE PSY.D.
NPI 1497872915
Psychologist - Clinical in Fontana, CA

Q: What is Kimberly Light-allende's NPI number?

The NPI number for Kimberly Light-allende is 1497872915. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Kimberly Light-allende's specialty?

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

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment

15218 SUMMIT AVE # 300-313, FONTANA, CA 92336(909) 425-7487(909) 463-7410 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kimberly June Light-allende Psy.d. NPPES

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

DR. KIMBERLY JUNE LIGHT-ALLENDE PSY.D. (NPI 1497872915) is an individual clinical provider in Fontana, California, licensed in California (PSY 20476) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1497872915

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIMBERLY JUNE LIGHT-ALLENDECredential: PSY.D.

Location Address15218 SUMMIT AVE # 300-313Fontana, CA 92336-0232

Mailing Address15218 Summit Avenue #300-313Fontana, CA 92336-0232 · (909) 425-7487 · Fax (909) 463-7410

Phone(909) 425-7487

Fax(909) 463-7410

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497872915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 20476

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.

15218 SUMMIT AVE # 300-313, Fontana, CA 92336

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly June Light-allende Psy.d. 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 ID1052419116

PECOS Enrollment IDI20070613000452

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.

Medicare Billing Reassignments

Medicare enrollment records show Kimberly Light-allende reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gregor Medical Corporation

7.3 mi

Multi-Specialty

9377 HAVEN AVE STE 100
Rancho Cucamonga, CA 91730

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1275274003 (909) 906-1505

Department Of State Hospitals

37 mi

Psychiatric Hospital

11401 BLOOMFIELD AVE
Norwalk, CA 90650

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1265406565 (562) 863-7011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 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

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 Kimberly Light-allende's NPI number?

The NPI number for Kimberly Light-allende is 1497872915. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kimberly Light-allende located?

Kimberly Light-allende practices at 15218 Summit Ave # 300-313, Fontana, CA 92336. The listed phone number is (909) 425-7487.

What is Kimberly Light-allende's specialty?

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

Is Kimberly Light-allende enrolled in Medicare?

Yes. Kimberly Light-allende 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.

Which organizations bill Medicare for Kimberly Light-allende's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Light-allende reassigns Medicare benefits to 2 organizations: Gregor Medical Corporation (Rancho Cucamonga, CA) and Department Of State Hospitals (Norwalk, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Light-allende's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Light-allende 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.