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KIMBERLY ANNE LARSON MD
NPI 1730473885
Pediatrics - Neonatal-Perinatal Medicine in Oakland, CA

Active since June 07, 2011PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3276 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Oct 7, 2019, May 16, 2016 (3 updates tracked since 2016).

About Kimberly Anne Larson Md NPPES

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

KIMBERLY ANNE LARSON MD (NPI 1730473885) is an individual neonatal-perinatal medicine provider in Oakland, California, licensed in California (A148236) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730473885
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKIMBERLY ANNE LARSONCredential: MD
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address1601 Ygnacio Valley RdWalnut Creek, CA 94598-3122 · (925) 947-5350
Phone(510) 428-3276
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1730473885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A148236
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A148236 (CA)
747 52ND ST, Oakland, CA 94609
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Other Names 1

Former Name (1)Kimberly Bouchard

Secondary Practice Locations 3

Location 11601 Ygnacio Valley RdWalnut Creek, CA 94598-3122 · Phone (925) 947-5350
Location 211100 Euclid Ave, Mailstop 6010Cleveland, OH 44106-1716 · Phone (216) 844-3387
Location 3725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Anne Larson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022307917
PECOS Enrollment IDI20251015003783
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.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

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 Larson's NPI number?

The NPI number for Kimberly Larson is 1730473885. It was assigned to this individual provider in the NPPES registry on June 7, 2011. The provider is also known as Kimberly Bouchard.

Where is Kimberly Larson located?

Kimberly Larson practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3276.

What is Kimberly Larson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kimberly Larson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Larson was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.