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DR. KIMBERLY A DOUGLAS MD
NPI 1619017670
Pediatrics in Mission Viejo, CA

Active since February 07, 2007PECOS Enrolled
27800 MEDICAL CENTER RD, SUITE 138, MISSION VIEJO, CA 92691(949) 365-2379(949) 831-1920 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly A Douglas Md NPPES

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

DR. KIMBERLY A DOUGLAS MD (NPI 1619017670) is an individual pediatrics provider in Mission Viejo, California, licensed in California (G71095) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619017670
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMBERLY A DOUGLASCredential: MD
Location Address27800 MEDICAL CENTER RD, SUITE 138Mission Viejo, CA 92691-6410
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 509-8767 · Fax (714) 509-8767
Phone(949) 365-2379
Fax(949) 831-1920
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 12, 2014
✔ NPI 1619017670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G71095
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
27800 MEDICAL CENTER RD, Mission Viejo, CA 92691
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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 A Douglas Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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.

THEODORE J. CALIENDO, M.D., A MEDICAL CORPORATION
Pediatrics
27800 MEDICAL CENTER RD, SUITE 204
MISSION VIEJO, CA 92691
Orange County (949) 364-3691
KENNETH K PADDIE A PROFESSIONAL CORP
Otolaryngology
27800 MEDICAL CENTER RD, SUITE 261
MISSION VIEJO, CA 92691
Orange County (949) 364-2555
MEDINA PEDIATRICS, INC.
Pediatrics (Neonatal-Perinatal Medicine)
27800 MEDICAL CENTER RD, SUITE 204
MISSION VIEJO, CA 92691
Orange County (949) 364-3532
REXINGER MEDICAL GROUP, INC.
Family Medicine
27800 MEDICAL CENTER RD, SUITE 461
MISSION VIEJO, CA 92691
Orange County (949) 364-5600
DR. BRETT MICHAEL WERTMAN M.D.
Internal Medicine (Cardiovascular Disease)
27800 MEDICAL CENTER RD, SUITE 222
MISSION VIEJO, CA 92691
Orange County (949) 276-2446
JACKSON MOSES, DDS, INC
Dentist (Oral and Maxillofacial Surgery)
27800 MEDICAL CENTER RD, 238
MISSION VIEJO, CA 92691
Orange County (949) 364-0220
BRITTANY DANIELLE FARMER ACSW
Social Worker (Clinical)
27800 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 866-3600
DR. ANDREW CHANG
Dentist (Pediatric Dentistry)
27800 MEDICAL CENTER RD, SUITE 332
MISSION VIEJO, CA 92691
Orange County (949) 364-1171

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 Douglas's NPI number?

The NPI number for Kimberly Douglas is 1619017670. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Kimberly Douglas located?

Kimberly Douglas practices at 27800 Medical Center Rd Suite 138, Mission Viejo, CA 92691. The listed phone number is (949) 365-2379.

What is Kimberly Douglas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Douglas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Douglas was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.