KIMBERLY KAY GROOMS
NPI 1629847876
Student in an Organized Health Care Education/Training Program in Santa Maria, CA

Active since December 29, 2023
1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 93454(805) 621-7714 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Kay Grooms NPPES

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

KIMBERLY KAY GROOMS (NPI 1629847876) is an individual student in an organized health care education/training program in Santa Maria, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1629847876
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY KAY GROOMS
Location Address1075 E BETTERAVIA RD STE 201Santa Maria, CA 93454-7023
Mailing Address1075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023 · (805) 621-7714
Sole ProprietorNo
Enumeration DateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
NPI 1629847876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1075 E BETTERAVIA RD STE 201, Santa Maria, CA 93454

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.

Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454
Physician Assistant
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629847876, enumerated as an "individual" on December 29, 2023.

The provider is located at 1075 E BETTERAVIA RD STE 201 SANTA MARIA, CA 93454 and the phone number is (805) 621-7714.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.