Michael J Kimball (NPI# 1700838646, PAC ID# 6204879778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700838646 |
| PAC ID by PECOS | 6204879778 |
| Professional Enrollment ID | I20050606000767 |
| Full Name | Michael J Kimball |
| Organization Legal Name | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Address |
2501 Harbor Blvd Costa Mesa CA 92626-6143 |
| Phone Number | 7149575156 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082788732 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 7149575156 | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Organization Legal Name | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gilbert V Gonzales | Family Medicine | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Luan C Le | Family Medicine | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Theresa Ann Jones | Nurse Practitioner | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Jose S Aramburo Jr. | Family Medicine | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Nandan Bhatt | General Practice | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Jeffrey P Tan | Family Medicine | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Sean G Fleming | Family Medicine | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Lixia Goble | Nurse Practitioner | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Steven Barry Silverman | Internal Medicine | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Roy M Raroque | Neurology | State of California - Department of Developmental Services | 26501 Ave, Suite 140, Porterville, CA 93257-9109 |
| Street Address |
2501 HARBOR BLVD |
| City | COSTA MESA |
| State | CA |
| Zip | 92626-6143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luan C Le | Family Medicine | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Lixia Goble | Nurse Practitioner | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Steven Barry Silverman | Internal Medicine | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Dilipkuma R Patel | Internal Medicine | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| James Homer Ferguson | Family Practice | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Thanhtuyen T Do | Physical Medicine and Rehabilitation | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Hoang D Nguyen | Psychiatry | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Hung V Le | Family Practice | State of California - Department of Developmental Services | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Kaplan | Psychologist, Clinical | 780 Roosevelt, Suite 131, Irvine, CA 92626 | |
| Ami Gitesh Shah | Chiropractic | 2755 Bristol St, Suite 120, Costa Mesa, CA 92626-1208 | |
| Nancy D Young | Psychologist, Clinical | 3505 Cadillac Ave, Bldg O, Costa Mesa, CA 92626-1429 | |
| Stephenie Champlin | Clinical Social Worker | 3505 Cadillac Ave, Costa Mesa, CA 92626-1429 | |
| Farnoosh Tinoosh | Ophthalmology | 1503 S Coast Dr, Suite 120, Costa Mesa, CA 92626-1526 | |
| George Tun | Psychiatry | Mindful Health Solutions A Professional Medical Corporation | 1503 S Coast Dr, Suite 111, Costa Mesa, CA 92626-1526 |
| Ramin R Lavi | Chiropractic | 1503 S Coast Dr, Suite 109, Costa Mesa, CA 92626-1526 | |
| Dariush S Lavi | Internal Medicine | 1503 S Coast Dr, Suite 109, Costa Mesa, CA 92626-1526 | |
| Jeffrey Charles Kleis | Podiatry | 1503 S Coast Dr, Suite 317, Costa Mesa, CA 92626-1528 | |
| Daniel T Garcia | Chiropractic | 1503 S Coast Dr, 319 Garcia Chiropractic, Costa Mesa, CA 92626-1528 | |
| Find all physicians in zip 92626 | |||
| City | COSTA MESA |
| Zip Code | 92626 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COSTA MESA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael J Kimball.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.