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KYMBERLY LUNDBERG
NPI 1588030217
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since August 17, 2015Opted out of Medicare · through May 1, 2027
1266 14TH ST, OAKLAND, CA 94607(510) 531-3111(510) 530-8083 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kymberly Lundberg NPPES

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

KYMBERLY LUNDBERG (NPI 1588030217) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since August 2015. She has opted out of Medicare through May 1, 2027.

NPPES Registry Identity

NPI1588030217
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYMBERLY LUNDBERG
Location Address1266 14TH STOakland, CA 94607-2205
Mailing Address1266 14th StOakland, CA 94607-2205 · (510) 531-3111 · Fax (510) 530-8083
Phone(510) 531-3111
Fax(510) 530-8083
Sole ProprietorNo
Enumeration DateAugust 17, 2015
Last NPPES UpdateSeptember 8, 2015
✔ NPI 1588030217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1266 14TH ST, Oakland, CA 94607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kymberly Lundberg has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2025 through May 1, 2027.

Opt-Out Effective DateMay 1, 2025
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. BIANCA MAGALLON
Counselor (Mental Health)
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 273-4700
CAITLIN ELIZABETH BRUFFEY MA
Marriage & Family Therapist
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 273-4700
MS. MARIEL PAUL
Student in an Organized Health Care Education/Training Program
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 273-4700
FRANCISCO JAVIER ALVARADO JR. MSW
Social Worker (Clinical)
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 407-7596
KAMARIA ERIN WELLS
Student in an Organized Health Care Education/Training Program
1266 14TH ST
OAKLAND, CA 94607
Alameda County (919) 697-1119
MACKENZIE MCNABB
Social Worker (Clinical)
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 273-4700
MICKAELA NORRIS
Student in an Organized Health Care Education/Training Program
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 273-4700
MORGAN CEPPARO
Social Worker (Clinical)
1266 14TH ST
OAKLAND, CA 94607
Alameda County (510) 273-4700

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 Kymberly Lundberg's NPI number?

The NPI number for Kymberly Lundberg is 1588030217. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Kymberly Lundberg located?

Kymberly Lundberg practices at 1266 14th St, Oakland, CA 94607. The listed phone number is (510) 531-3111.

What is Kymberly Lundberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kymberly Lundberg enrolled in Medicare?

No. Kymberly Lundberg has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kymberly Lundberg was last updated on September 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.