MEDICARE: KIMBERLY EVANS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY31655	CA
2	103TC0700X	Clinical Psychologist	13781	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164446480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY EVANS PH.D.

Provider Business Mailing Address
First Line	:	425 W BEECH ST UNIT 1201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2961
Country	:	US
Telephone Number	:	917-721-0757
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 W BEECH ST UNIT 1201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2961
Country	:	US
Telephone Number	:	917-721-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/25/2020

Similar Medicare Providers

1962660928 — MS. NILOFAR FAGHIHNIA D.P.M.
Practice Location Address:

425 W BEECH ST UNIT 1306
SAN DIEGO, CA
92101-2961

Practice Phone: 916-601-7193
Practice Fax:

1386785657 — DR. CAROLYN COKER ROSS M.D.
Practice Location Address:

3940 DOVE ST UNIT 207
SAN DIEGO, CA
92103-2961

Practice Phone: 520-440-0079
Practice Fax: 855-651-2323

1285821462 — MR. HUGH E. MOORE RN
Practice Location Address:

2961 EDELL PL
SAN DIEGO, CA
92117-1618

Practice Phone: 619-793-5397
Practice Fax:

1497263412 — DR. RAMONA STEPHANIE GARNIER PHD
Practice Location Address:

10679 WESTVIEW PKWY FL 2
SAN DIEGO, CA
92126-2961

Practice Phone: 858-530-2468
Practice Fax: 858-726-6000

1265392013 — TONYE PETERS
Practice Location Address:

2961 E ST APT 2
SAN DIEGO, CA
92102-2526

Practice Phone: 334-940-5090
Practice Fax:

1326908187 — MR. TRAVIS ETHAN BILLOW IDC
Practice Location Address:

2961 E ST APT 2
SAN DIEGO, CA
92102-2526

Practice Phone: 210-294-4811
Practice Fax:

Directions to “ KIMBERLY EVANS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.