Kimberly Gump, is a
Community Health Worker based in Costa Mesa, California. Kimberly Gump is licensed to practice in * (Not Available) (license number ) and her current practice location is
275 Baker St Ste A, Costa Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(714) 361-6760.
NPI number for Kimberly Gump is 1487368692 and her current mailing address is 400 Merrimac Way Apt 8, Costa Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487368692.
Healthcare Provider's Profile
Full Name | Kimberly Gump |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 275 Baker St Ste A, Costa Mesa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487368692
- Provider Enumeration Date: 01/11/2023
- Last Update Date: 07/18/2023
Medical Identifiers
Medical identifiers for Kimberly Gump such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487368692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | 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 Gump 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 Gump, 400 Merrimac Way Apt 8, Costa Mesa, CA 92626-6150 Ph: (714) 307-6590 | Kimberly Gump, 275 Baker St Ste A, Costa Mesa, CA 92626-4566 Ph: (714) 361-6760 |
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