Kimberly Peterson, NP is a
Nurse Practitioner - Pediatrics physician based in Orange, California. Kimberly Peterson is licensed to practice in California (license number 95013898) and her current practice location is 505 S Main St, Orange, California. She can be reached at her office (for appointments etc.) via phone at
(714) 509-3939.
NPI number for Kimberly Peterson is 1033873336 and her current mailing address is 505 S Main St, Orange, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033873336.
Physician's Profile
Full Name | Kimberly Peterson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 505 S Main St, Orange, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033873336
- Provider Enumeration Date: 10/25/2021
- Last Update Date: 08/15/2025
Medical Identifiers
Medical identifiers for Kimberly Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033873336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 95013898 (California) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95013898 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Peterson, NP 505 S Main St, Orange, CA 92868-4509 Ph: (714) 509-3939 | Kimberly Peterson, NP 505 S Main St, Orange, CA 92868-4509 Ph: (714) 509-3939 |
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