MR. MICHAEL JOHN KIMBALL (NPI# 1700838646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700838646 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN KIMBALL |
| Credential | NP |
| Practice Address |
2501 Harbor Blvd Costa Mesa CA 92626-6143 |
| Mailing Address |
1600 9th Street Room 205 Mailstop 2-3 Sacramento CA 95814-6414 |
| Practice Telephone | 7149575000 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
523970 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MK1169451 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104329515 | Michael Kimball | Massage Therapist | 944 Elm St Ste 21, Manchester, NH 03101-2020 | 2018-03-12 |
| 1316375595 | Michael Kimball | Psychologist | 705 S Main St, Plymouth, MI 48170-2089 | 2013-10-24 |
| 1306160338 | Michael J Kimball | Orthopaedic Surgery | 7500 Central Ave, Suite 108, Philadelphia, PA 19111-2430 | 2010-03-19 |
| 1265467096 | Michael W Kimball | Internal Medicine | 64-5188 Kinohou St, Kamuela, HI 96743-8409 | 2006-07-11 |
| 1588648653 | Michael Patton Kimball | Specialist | 4130 La Jolla Village Dr, Ste 306, La Jolla, CA 92037-1481 | 2005-12-02 |
| Street Address |
2501 HARBOR BLVD |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225089592 | State of California - Department of Developmental Services | Long Term Care Hospital | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-05-12 |
| 1639659774 | Afsar Iranmanesh | Pharmacist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2018-08-17 |
| 1093217531 | Wendy Pang | Pharmacist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2018-02-28 |
| 1316330459 | Raymond Vagas | Psychologist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2015-03-13 |
| 1083995930 | Cory Rizzuto | Counselor | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2011-09-06 |
| 1801123021 | Ashley Brooke Gardner | Social Worker | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2009-11-09 |
| 1861655045 | Ying-ling Chao | Social Worker | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2008-07-08 |
| 1316953805 | Michael Kao | Family Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-08-01 |
| 1295759298 | Sienna Sablan Go | Family Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-07-26 |
| 1760404040 | Thanhtuyen Do | Physical Medicine & Rehabilitation | 2501 Harbor Blvd, Department of Oehs Director, Dr. Do, Costa Mesa, CA 92626-6143 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428072 | Therese Louise Wright | Nurse Practitioner | 3505 Cadillac Ave, Costa Mesa, CA 92626-1429 | 2006-06-22 |
| 1811532047 | April Leilani Aloiau | Nurse Practitioner | 3187 Red Hill Ave Ste 230a, Costa Mesa, CA 92626-3446 | 2019-11-12 |
| 1427595925 | Hema Doshi Patel | Nurse Practitioner | 1202 Bristol St Ste 200, Costa Mesa, CA 92626-8607 | 2017-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on MR. MICHAEL JOHN KIMBALL.
| 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.