Jacquiline N Kimera, is a
Licensed Vocational Nurse based in Villa Park, California. Jacquiline N Kimera is licensed to practice in California (license number 745504) and her current practice location is
1648 N Brigantine Ln, Villa Park, California. She can be reached at her office (for appointments etc.) via phone at
(714) 210-9502.
NPI number for Jacquiline N Kimera is 1528870508 and her current mailing address is 1648 N Brigantine Ln, Villa Park, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528870508.
Provider's Profile
Full Name | Jacquiline N Kimera |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 1648 N Brigantine Ln, Villa Park, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528870508
- Provider Enumeration Date: 01/25/2025
- Last Update Date: 01/25/2025
Medical Identifiers
Medical identifiers for Jacquiline N Kimera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528870508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 745504 (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. Jacquiline N Kimera 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 |
Jacquiline N Kimera, 1648 N Brigantine Ln, Villa Park, CA 92867-4058 Ph: (714) 210-9502 | Jacquiline N Kimera, 1648 N Brigantine Ln, Villa Park, CA 92867-4058 Ph: (714) 210-9502 |
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