DR. KIMBERLY PETRICK M.D.
NPI 1629331418
Student in an Organized Health Care Education/Training Program in Colton, CA
About Dr. Kimberly Petrick M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY PETRICK M.D. (NPI 1629331418) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kimberly Petrick M.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.
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.
COLTON, CA 92324
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 Petrick's NPI number?
The NPI number for Kimberly Petrick is 1629331418. It was assigned to this individual provider in the NPPES registry on June 18, 2012.
Where is Kimberly Petrick located?
Kimberly Petrick practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.
What is Kimberly Petrick'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 Petrick enrolled in Medicare?
Yes. Kimberly Petrick 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.
When was this NPI record last updated?
The NPPES record for Kimberly Petrick was last updated on December 1, 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.
# Dr. Kimberly Petrick, M.D. · NPI 1629331418
Student in an Organized Health Care Education/Training Program provider in Colton, California. Individual provider, active in the CMS NPPES registry since June 18, 2012.
## Identity
- **NPI:** 1629331418 (Entity type: Individual)
- **Enumerated:** June 18, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629331418) · Data from the CMS NPPES public registry.