Kimberly Alzuphar, in Marina Del Rey, CA

Kimberly Alzuphar, is a medicare enrolled "Pediatrics" physician in Marina Del Rey, California. Her current practice location is 13160 Mindanao Way Ste 315, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 301-6310.

Kimberly Alzuphar is licensed to practice in California (license number A185372) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811428469.

Contact Information

	Kimberly Alzuphar,
	13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292-7907
	(310) 301-6310
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Alzuphar
Gender	Female
Speciality	Pediatrics
Location	13160 Mindanao Way Ste 315, Marina Del Rey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811428469
Provider Enumeration Date: 03/24/2017
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5991041287
Enrollment ID: I20230621001411

Medical Identifiers

Medical identifiers for Kimberly Alzuphar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811428469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	305032 (New York)	Secondary
208000000X	Pediatrics	A185372 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Alzuphar allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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 Alzuphar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Alzuphar, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Kimberly Alzuphar, 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292-7907 Ph: (310) 301-6310

Reviews and Comments

Pediatrics Doctors in Marina Del Rey, CA

Julia Isabelle Reading, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310
Dr. Leian Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310
Dr. Lawrence Henry Lesser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3609 Esplanade, Marina Del Rey, CA 90292 Phone: 310-301-6370
Priyanka Sharma Kosaraju, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310 Fax: 310-301-6315
Stacy Ma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310 Fax: 310-301-6315

Kimberly Alzuphar, - Medicare Pediatrics in Marina Del Rey, CA