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DR. KIMBERLY WILLARD MD
NPI 1790044964
Pediatrics in San Diego, CA

Active since May 09, 2012PECOS Enrolled
3020 CHILDRENS WAY # MC5075, SAN DIEGO, CA 92123(858) 966-8036 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Oct 2, 2015 (2 updates tracked since 2015).

About Dr. Kimberly Willard Md NPPES

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

DR. KIMBERLY WILLARD MD (NPI 1790044964) is an individual pediatrics provider in San Diego, California, licensed in California (A120972) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790044964
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMBERLY WILLARDCredential: MD
Location Address3020 CHILDRENS WAY # MC5075San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5075San Diego, CA 92123-4223 · (858) 966-8036
Phone(858) 966-8036
Sole ProprietorNo
Enumeration DateMay 9, 2012
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
✔ NPI 1790044964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A120972
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.
3020 CHILDRENS WAY # MC5075, San Diego, CA 92123
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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 Willard 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 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 6

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

DR. KAMALA VAIDYA M.D.
Pediatrics
3020 CHILDRENS WAY # MC5075
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
ERLINDA ULLOA M.D.
Pediatrics
3020 CHILDRENS WAY # MC5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
KELSEY MURRY BYRD DO
Emergency Medicine
3020 CHILDRENS WAY # MC5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
ANNEKA HOOFT MD
Pediatrics
3020 CHILDRENS WAY # MC5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
JOYCE ARPILLEDA MD
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY # MC5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
DR. DANIEL KAO M.D., M.P.H.
Pediatrics
3020 CHILDRENS WAY # MC5075
SAN DIEGO, CA 92123
San Diego County (310) 617-4227

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 Willard's NPI number?

The NPI number for Kimberly Willard is 1790044964. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Kimberly Willard located?

Kimberly Willard practices at 3020 Childrens Way # Mc5075, San Diego, CA 92123. The listed phone number is (858) 966-8036.

What is Kimberly Willard's specialty?

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

Is Kimberly Willard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Willard was last updated on November 30, 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.