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KIMBERLY DENNISE MADORSKY PA-C
NPI 1912152380
Physician Assistant in Fontana, CA

Active since November 26, 2008PECOS Enrolled
17577 ARROW BLVD, FONTANA, CA 92335(909) 823-4454(909) 823-6918 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Dennise Madorsky Pa-c NPPES

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

KIMBERLY DENNISE MADORSKY PA-C (NPI 1912152380) is an individual physician assistant in Fontana, California, licensed in California (PA19989) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912152380
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY DENNISE MADORSKYCredential: PA-C
Location Address17577 ARROW BLVDFontana, CA 92335-4011
Mailing Address1855 W Redlands Blvd, Second FloorRedlands, CA 92373-3145 · (909) 890-0407 · Fax (909) 890-4597
Phone(909) 823-4454
Fax(909) 823-6918
Sole ProprietorNo
Enumeration DateNovember 26, 2008
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1912152380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA19989
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17577 ARROW BLVD, Fontana, CA 92335
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Other Names 1

Former Name (1)Kimberly Dennise Haines None

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 Dennise Madorsky Pa-c 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 92335 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 10

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

DR. YASUHIRO NISHIURA M.D.
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
LASALLE MEDICAL ASSOCIATES
Clinic/Center (Multi-Specialty)
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
FTF PHARMACY CORPORATION
Pharmacy (Community/Retail Pharmacy)
17577 ARROW BLVD, STE 101
FONTANA, CA 92335
San Bernardino County (909) 428-9842
DR. CYNTHIA CHENG M.D.
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
HENRIETTA ANNE GREEN PA-C
Physician Assistant (Medical)
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
AMANDA BLINKINSOP PA-C
Physician Assistant
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
SU MON THWE MD
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
DR. HALIMA TASNEEM SHAHABUDDIN M.D.
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454

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 Madorsky's NPI number?

The NPI number for Kimberly Madorsky is 1912152380. It was assigned to this individual provider in the NPPES registry on November 26, 2008. The provider is also known as Kimberly Dennise Haines None.

Where is Kimberly Madorsky located?

Kimberly Madorsky practices at 17577 Arrow Blvd, Fontana, CA 92335. The listed phone number is (909) 823-4454.

What is Kimberly Madorsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Madorsky enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Madorsky was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.