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DR. KIMBERLY C. PETERSON M.D.
NPI 1588891972
Student in an Organized Health Care Education/Training Program in Sylmar, CA

Active since June 12, 2009PECOS Enrolled
14445 OLIVE VIEW DR, SYLMAR, CA 91342(818) 364-3233 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly C. Peterson M.d. NPPES

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

DR. KIMBERLY C. PETERSON M.D. (NPI 1588891972) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588891972
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KIMBERLY C. PETERSONCredential: M.D.
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address14445 Olive View DrSylmar, CA 91342-1437 · (818) 364-3233
Phone(818) 364-3233
Sole ProprietorYes
Enumeration DateJune 12, 2009
Last NPPES UpdateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1588891972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
14445 OLIVE VIEW DR, Sylmar, CA 91342
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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)

Dr. Kimberly C. Peterson 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 20

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

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
DENNIS POON
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
SERENA KE MD
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. PAUL I LIU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Los Angeles County (818) 364-4033
DR. ARTHUR JENG M.D.
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MRS. CECILIA CORONADO PTA
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-4245
DR. RAMSES CESAR DELGADILLO MD
Internal Medicine
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555

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 Peterson's NPI number?

The NPI number for Kimberly Peterson is 1588891972. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Kimberly Peterson located?

Kimberly Peterson practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (818) 364-3233.

What is Kimberly Peterson's specialty?

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

Is Kimberly Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Peterson was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.