MRS. KIMBERLEY JO POLITTE


Address: 11201 Benton St, Loma Linda, CA 92357-1000
Phone: 9098257084

MRS. KIMBERLEY JO POLITTE (NPI# 1114053006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114053006
Entity Type Individual
Full Name MRS. KIMBERLEY JO POLITTE
Credential COF
Practice Address 11201 Benton St
Loma Linda
CA 92357-1000
Practice Telephone 9098257084
Practice Fax Number 9097773887
Mailing Telephone 9098257084
Mailing Fax Number 9097773887
Enumeration Date 2007-02-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225000000X Orthotic Fitter COFM-050 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 11201 BENTON ST
City LOMA LINDA
State CA
Zip Code 92357-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841290558 Russell Evan Hoxie Jr. Internal Medicine 11201 Benton St, Loma Linda, CA 92357-1000 2005-07-22
1104435643 Megan Satre Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-30
1972111862 Aileen Nati Ludesirishoti Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-17
1649894551 Bryan Lamont Brewer Social Worker 11201 Benton St, Loma Linda, CA 92357-1000 2020-06-05
1518580497 Nicole Kaye Whittle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-26
1629690375 Kevin Alan Cox Student in an Organized Health Care Education/Training Program 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-15
1033731443 Joni Lynn Stanton Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-08
1134748536 Abednego Tamba Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-04-15
1447885884 Zachary Michael Cruz Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-03-05
1972141695 Tanya Lengvilas Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679916027 Nicole Kristine Shah-ghassemzadeh Internal Medicine Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 2013-04-16
1760628598 Taranjit Natt Internal Medicine 11201 Benton St # 111-om, Loma Linda, CA 92357 2008-12-29
1548355076 Annette A Boyd -hampton Nurse Practitioner 11201 Benton St. -111g, Loma Linda, CA 92357 2006-10-03
1396830766 Maudie Cantrell Foy Nurse Practitioner 11201 Benton St. (11cp), Loma Linda, CA 92357 2006-10-03
1427154715 Kenneth Wong Pharmacist 11201 Benton St. (119), Loma Linda, CA 92357 2006-09-15
1801909577 Paul Lindberg Orthotist 11201 Benton St./121, Loma Linda, CA 92357 2006-08-16
1992728703 Harry Chen Pharmacist 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 2006-07-25
1699222661 Nathanial Benjaman Hawkins Psychologist 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 2016-09-07
1063877959 Irene Thung Pathology 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 2015-12-21
1033553375 Brian Chau Physical Medicine & Rehabilitation 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 2013-04-17
Find all providers in zip 92357

Taxonomy Information

Taxonomy Code 225000000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotic Fitter

Taxonomy Definition

An individual trained in the management of fitting prefabricated orthoses.
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811547474 June Sean Orthotic Fitter 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 2019-09-16
1265930903 Advanced Therapy Center Orthotic Fitter 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 2018-01-29
1740796754 Vincent Leonard Reeves Orthotic Fitter 1815 Orange St, National City, CA 91950-6127 2017-12-28
1801244389 Colleen Wendtland Orthotic Fitter 1468 Pepper Ln, Banning, CA 92220-1469 2016-05-25
1336487263 Covenant Billing Services, Inc Orthotic Fitter 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 2013-01-28
1497041438 Peter P Kim Orthotic Fitter 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 2011-06-28
1659602423 Suzanne Pilegaard Orthotic Fitter 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 2010-01-19
1598098139 Ryan Michael Solberg Orthotic Fitter 10361 Estates Drive, Truckee, CA 96161 2009-09-15
1467683805 Abelardo Ramos Orthotic Fitter 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 2009-08-03
1982871166 Healing Hands Rehab Inc Orthotic Fitter 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 2008-05-15
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Competitor

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City LOMA LINDA
Zip Code 92357

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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