Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508641705 Individual Practitioner Female Practitioner

Kimberly Daugherty

Nurse Practitioner • Van Nuys, CA

Professional Overview & Biography Verified Profile Summary

Kimberly Daugherty is a registered healthcare professional specializing in Nurse Practitioner in Van Nuys, CA. Practice services are available at 14541 DELANO ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14541 Delano St

Van Nuys, CA 914112820

Telephone 8775158113
Associated Practice Facility / Clinic
🏢 Ehab Yacoub Md Inc. Facility NPI 1538581913

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Van Nuys, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Van Nuys, CA (8378 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95026843

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Juan Rondeau , MD

Psychiatry & Neurology - Psychiatry

NPI 1003312232

Doctor of Medicine (M.D.)

Dr. Manuel Mota-Castillo , MD

Psychiatry & Neurology - Psychiatry

NPI 1003867698

Doctor of Medicine (M.D.)

Evelyn Garcia

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053840660
Gloria Origel , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073448494

Psychiatric-Mental Health Nurse Practitioner

Dr. Adeshewa Adekunbi , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1083134829

Doctor of Medicine (M.D.)

Dr. George Bcharah , MD

Student in an Organized Health Care Education/Training Program

NPI 1104743210

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location October 24, 2023

Registered at 14541 DELANO ST, VAN NUYS, CA 914112820 (Tel: 8775158113)

NPI Profile Active August 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2023

Registered at 4478 9TH ST, RIVERSIDE, CA 925013108 (Tel: 9518770141)

📍
Updated Business Mailing Address August 28, 2023

Registered at 4478 9TH ST, RIVERSIDE, CA 925013108 (Tel: 9518770141)

👤
Provider Name / Credentials Updated August 28, 2023

Recorded as KIMBERLY DAUGHERTY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Nurse Practitioner (License #95026843 in CA)

🟢
Initial NPI Registration & Enumeration August 28, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508641705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2023
Last Update: October 24, 2023
Sole Proprietor: Yes

Mailing Address

4478 9th St

Riverside, CA 925013108

Phone: 9518770141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.