Kimberly Macias
Counselor, Professional in San Diego, CA. Individual provider (NPI-1).
NPI number1982136727
StatusActive
Last updated in NPPESOct 9, 2018
Details
- NPI
- 1982136727
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Macias
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2017
- Last updated
- Oct 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Apr 24, 2024 to Apr 24, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5752 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2929 Meade AveSan Diego, CA 92116-4251
Phone 619-281-8313
Mailing address
2929 Meade AveSan Diego, CA 92116-4251
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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