KIMBERLY ANNE DE JONG (NPI# 1598053381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598053381 |
Entity Type | Individual |
Full Name | KIMBERLY ANNE DE JONG |
Credential | F.N.P. |
Practice Address |
500 Superior Ave Ste 160 Newport Beach CA 92663-3677 |
Practice Telephone | 9497913006 |
Mailing Telephone | 9497913006 |
Enumeration Date | 2011-07-14 |
Last Update Date | 2018-10-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20827 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
221 E Caldwell Ave, Visalia, CA 932777605 | 5597324726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033485123 | Kimberly Ellison De Jong | Behavioral Analyst | 15905 Chateau Ave, Austin, TX 78734-2639 | 2012-03-22 |
1093727281 | Kimberly Joy De Jong | Counselor | 6006 159th St Bldg C, The Genesis Therapy Center, Oak Forest, IL 60452-2904 | 2006-08-13 |
Street Address |
500 SUPERIOR AVE STE 160 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92663-3677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
Find all providers in zip 92663 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770077729 | Rachael L Duran | Nurse Practitioner | 320 Superior Ave Ste 230, Newport Beach, CA 92663-2779 | 2018-06-21 |
1891289088 | Joanna Juntila | Nurse Practitioner | 1 Hoag Dr Bldg 47, Newport Beach, CA 92663-4162 | 2018-06-20 |
1174079115 | Kristine Ericksen-miller | Nurse Practitioner | 4321 Birch St Ste 100, Newport Beach, CA 92660-1940 | 2016-08-30 |
1508236100 | Anisa Munshi | Nurse Practitioner | 20072 Sw Birch St Ste 230, Newport Beach, CA 92660-1506 | 2015-09-25 |
1710376587 | Kimberly Slawson | Nurse Practitioner | 1922 Baypointe Dr, Newport Beach, CA 92660-8526 | 2015-01-16 |
1225317985 | Sally T Barbella | Nurse Practitioner | 3110 Park Newport Apt 410, Newport Beach, CA 92660-5847 | 2011-08-12 |
1447861984 | Janica Schmuck | Nurse Practitioner | 520 Superior Ave Ste 255, Newport Beach, CA 92663-3668 | 2020-08-10 |
1558984120 | Katherine Cosca Roy | Nurse Practitioner | 460 Old Newport Blvd, Newport Beach, CA 92663-4211 | 2020-05-18 |
1932749538 | Stayler Mcomie | Nurse Practitioner | 520 Superior Ave Ste 255, Newport Beach, CA 92663-3668 | 2020-01-10 |
1639719750 | Barret Bestard | Nurse Practitioner | 359 San Miguel Dr Ste 300, Newport Beach, CA 92660-7809 | 2020-01-07 |
Find all providers in NEWPORT BEACH |
City | NEWPORT BEACH |
Zip Code | 92663 |
Please comment or provide details below to improve the information on KIMBERLY ANNE DE JONG.
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.