Kimberly Belleza is a Family Nurse Practitioner practicing in Riverside, California. The National Provider Identifier (NPI) is #1104679521, which was assigned on April 8, 2024, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104; the contact telephone number is 9517742952. The primary taxonomy of Kimberly Belleza is Family Nurse Practitioner (363LF0000X), with specialization in Family. Kimberly Belleza is licensed to practice in the state of California (#95029482).
| NPI | 1104679521 |
| Entity Type | Individual |
| Provider Name | KIMBERLY BELLEZA |
| Gender | Female |
| Practice Address |
4646 Brockton Ave Ste 202 Riverside CA 92506-0104 |
| Practice Telephone | 9517742952 |
| Mailing Address |
4646 Brockton Ave Ste 202 Riverside CA 92506-0104 |
| Mailing Telephone | 9517742952 |
| Certification Date | 2025-09-11 |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-09-11 |
| Is Sole Proprietor | Y |
| PAC ID |
3678007994 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KIMBERLY BELLEZA |
| Primary Specialty | NURSE PRACTITIONER |
| Address |
278 Dogwood San Jacinto CA 92583-4351 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner | Family | 95029482 | CA |
| Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Payton Lamb | 1515 N Madison Ave, Anderson, IN 46011-3453 | Family Nurse Practitioner | 2026-05-08 |
| Stephanie Bauer | 1 Medical Park Blvd, Bristol, TN 37620-7430 | Family Nurse Practitioner | 2026-05-08 |
| Melissa Paquin | 6478 Astoria Ave, Rosamond, CA 93560-5949 | Family Nurse Practitioner | 2026-05-09 |
| Rosanna Keast | 24343 Heron Ln, Murrieta, CA 92562-4054 | Family Nurse Practitioner | 2026-05-09 |
| Hailey Ann Fernandez | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | Family Nurse Practitioner | 2026-05-09 |
| Nancy Elizabeth Munoz De Henriquez | 220 N Maclay Ave Ste 2, San Fernando, CA 91340-2909 | Family Nurse Practitioner | 2026-05-09 |
| Davis Advance Care Advocacy | 2501 Chatham Rd Ste N, Springfield, IL 62704-4188 | Family Nurse Practitioner | 2026-05-09 |
| Courtney Hall | 6801 Airport Blvd, Mobile, AL 36608-3709 | Family Nurse Practitioner | 2026-05-09 |
| Kei Asae Keaulana | 1441 Kapiolani Blvd Ste 2000, Honolulu, HI 96814-4408 | Family Nurse Practitioner | 2026-05-08 |
| Chilozie N Okpala | 1746 Carriage Lamp Ct, Severn, MD 21144-6802 | Family Nurse Practitioner | 2026-05-09 |
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| Street Address |
4646 BROCKTON AVE STE 202 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-0104 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Betina Greer Md Inc | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104 | Family Medicine Physician | 2019-03-28 |
| Daniel C Solis Md Incorporated | 4646 Brockton Ave Ste 202-1, Riverside, CA 92506-0172 | Internal Medicine Physician | 2025-07-07 |
| Betina Gideon-Greer | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104 | General Practice Physician | 2005-12-28 |
| Daisy Wu | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0103 | Podiatrist | 2006-04-14 |
| Zainab Ali | 4646 Brockton Ave Ste 202-1, Riverside, CA 92506-0172 | Internal Medicine Physician | 2011-04-15 |
| Howard A Aubert | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104 | Urology Physician | 2007-05-22 |
| Dhara Patel | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104 | Internal Medicine Physician | 2018-04-15 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| The Oncology Institute Ca, A Professional Corporation | 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 | Hematology & Oncology Physician | 2023-10-24 |
| Muhammad Muslim | 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 | Hematology & Oncology Physician | 2006-11-06 |
| Megan Raejene Pichette | 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 | Family Nurse Practitioner | 2022-05-11 |
| Maria Cecilia Macias Lopez | 4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 | Family Medicine Physician | 2022-04-01 |
| Orangecrest Medical Group, Inc. | 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 | Primary Care Clinic/Center | 2019-02-22 |
| Sarah Chae | 4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 | Internal Medicine Physician | 2006-04-25 |
| David M Choi | 4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 | Ophthalmology Physician | 2005-12-06 |
| Altais Medical Group - Riverside, Inc. | 4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 | Family Medicine Physician | 2021-10-07 |
| Maria C Macias Lopez Md Inc | 4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 | Family Medicine Physician | 2026-01-19 |
| Kelly Owen | 4646 Brockton Ave Ste 203, Riverside, CA 92506-0104 | Acute Care Nurse Practitioner | 2022-01-17 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Samar Nahas Md Inc | 6767 Brockcson Ave, Riverside, CA 92506 | Gynecologic Oncology Physician | 2026-04-02 |
| Riverside Primary Care Clinic | 3978 Merrill Ave, Riverside, CA 92506 | Primary Care Clinic/Center | 2020-10-22 |
| London Campbell | 3695 Ocean Ranch Blvd, Oceanside, CA 92506 | Behavior Technician | 2025-01-07 |
| Beverly D. Thomas-Marsh | 6700 Indiana Ave Ste 165, Riverside, CA 92506 | Mental Health Counselor | 2018-05-15 |
| Georgina Laus Villacorta | 8070 Jurupa Avenue, Riverside, CA 92506 | Registered Nurse | 2021-06-21 |
| Creative Minds Networking | 6809 Indiana Ave, Riverside, CA 92506 | Behavioral Analyst | 2021-08-10 |
| Cathy Torres | 6529 Riverside Ave., Suite 160, Riverside, CA 92506 | Rehabilitation Practitioner | 2022-04-14 |
| Judith Patricia Manzo | 3576 Arlington Ave St 100, Riverside, CA 92506 | Rehabilitation Practitioner | 2024-02-05 |
| Leticia Dilworth | 3610 Central Ave Ste 46, Riverside, CA 92506 | Behavioral Analyst | 2017-10-27 |
| Katherine Vera | 6370 Magnolia Ave. Suite 340, Riverside, CA 92506 | Behavior Technician | 2023-06-26 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kimberly P Mccloud Beverett | 30 Galesi Dr, Wayne, NJ 07470-4812 | Counselor | 2026-02-23 |
| Kimberly Call · Kimberly Oliphant | 1001 N 7th Ave Ste 115, Pocatello, ID 83201-5788 | Community Health Worker | 2026-04-28 |
| Kimberly K Swanson · Kimberly S Wier | 845 S Main Street, Suite 120, Fon Du Lac, WI 54935 | Occupational Therapist | 2008-09-03 |
| Kimberly Ka Yan Saldana · Kimberly Ka Yan Holmes | 9501 Lemon Ave, Temple City, CA 91780-1305 | School Psychologist | 2026-03-09 |
| Kimberly Mcmillan · Kimberly Marie Kohler | 107 N Union Blvd, Colorado Springs, CO 80909-5703 | Counselor | 2026-02-02 |
| Kimberly Swidergal · Kimberly Looney | 901 S Madison Ave, La Grange, IL 60525-2810 | Physical Therapist | 2026-04-15 |
| Kimberly Frank · Kimberly Twidwell Frank | 186 Kimberly Ave, Bowling Green, KY 42101-8023 | Marriage & Family Therapist | 2026-04-23 |
| Kimberly Demaria · Kimberly O'Brien | 102 S Winooski Ave, Burlington, VT 05401-7406 | Community Health Worker | 2026-05-06 |
| Kimberly E Kaumeheiwa · Kimberly E Wenberg | Unitedhealth Group, 9900 Bren Road East, Mn 008-B213, Minnitonka, MN 55343 | Nurse Practitioner | 2007-10-02 |
| Kimberly A Wakefield · Kimberly A Engler | 421 Walnut St, Farmington, MN 55024-1344 | Speech-Language Pathologist | 2026-02-24 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |