Kimberly P. Cockerham is a Neuro-ophthalmology Physician practicing in San Diego, California. The National Provider Identifier (NPI) is #1366493629, which was assigned on May 12, 2006, and the registration record was last updated on November 6, 2025. The practitioner's main practice location is at 3636 Camino Del Rio N Ste 200, San Diego, CA 92108-1702; the contact telephone number is 6196553705. The primary taxonomy of Kimberly P. Cockerham is Neuro-ophthalmology Physician (207WX0109X), with specialization in Neuro-ophthalmology. Kimberly P. Cockerham is licensed to practice in the state of California (#G86885), California (#G86885).
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
| NPI | 1366493629 |
| Entity Type | Individual |
| Provider Name | DR. KIMBERLY P. COCKERHAM |
| Other Name |
KIMBERLY PEELE (Other Name) |
| Gender | Female |
| Credential | MD |
| Practice Address |
3636 Camino Del Rio N Ste 200 San Diego CA 92108-1702 |
| Practice Telephone | 6196553705 |
| Mailing Address |
Po Box 503148 San Diego CA 92150-3148 |
| Mailing Telephone | 6508049270 |
| Certification Date | 2025-11-06 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-11-06 |
| Is Sole Proprietor | N |
| PAC ID |
3678460300 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KIMBERLY PEELE COCKERHAM |
| Primary Specialty | OPHTHALMOLOGY |
| Organization Legal Name | ST LUKES AT THE VILLAGES PA |
| Address |
1050 Old Camp Rd Suite 230 The Villages FL 32162-1762 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | G86885 | CA | ||
| Y | 207WX0109X | Ophthalmology | Neuro-ophthalmology | G86885 | CA |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 00G868850 | CA | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 3969 4th Ave Ste 301, San Diego, CA 921033165 | 6196553705 | |
| 5525 Grossmont Center Dr Ste 602, LA Mesa, CA 919423009 | 6198101275 | |
| 5555 Grossmont Center Dr, LA Mesa, CA 919423019 | 6196553705 |
| Code | 207WX0109X |
| Taxonomy | Neuro-ophthalmology Physician |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| Classification | Ophthalmology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vitaleyes, PLLC | 7347 Powell Rd Ste B, Wildwood, FL 34785-4258 | Neuro-ophthalmology Physician | 2025-10-20 |
| Manal Musbah Mohammad Milhem | 200 Hawkins Dr, Iowa City, IA 52242-1009 | Neuro-ophthalmology Physician | 2026-05-01 |
| Street Address |
3636 CAMINO DEL RIO N STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1702 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cockerham Eye Consultants Professional Corporation | 3636 Camino Del Rio N Ste 200, San Diego, CA 92108-1702 | Ophthalmology Physician | 2007-01-29 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vista Community Hospice, Inc. | 3636 Camino Del Rio N Ste 245, San Diego, CA 92108-1702 | Community Based Hospice Care Agency | 2020-10-28 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelly Harfouche | 1640 Camino Del Rio N Suite 206, Room 119/120, San Diego, CA 92108 | Family Nurse Practitioner | 2025-05-16 |
| Telecare Corporation | 2085-95 Hotel Circle South, San Diego, CA 92108 | Mental Illness Community Based Residential Treatment Facility | 2025-04-23 |
| Russell Jay Niland | 1011 Camino Del Rio South, Suite 300, San Diego, CA 92108 | Peer Specialist | 2026-04-01 |
| Jessica Brooke Rea | 7580 Metropolitan Dr. Ste 200 #1099, San Diego, CA 92108 | Massage Therapist | 2025-02-06 |
| Roger George Lee Davis III | 1011 Camino Del Rio S Suite 300, San Diego, CA 92108 | Rehabilitation Practitioner | 2026-01-08 |
| Milo Bivens | 2820 Camino Del Rio South, 100, San Diego, CA 92108 | Behavior Technician | 2023-06-26 |
| Kathleen Ann Kramm | 1011 Camino Del Rio South, Suite 300, San Diego, CA 92108 | Peer Specialist | 2025-10-30 |
| Candice Johnston · Cameron Johnston | 3750 Camino Del Rio North, Suite 105, San Diego, CA 92108 | Mental Health Counselor | 2023-10-02 |
| Stephanie Bateman | 10425 Caminito Cuervo, Unit 226, San Diego, CA 92108 | Behavior Technician | 2023-03-22 |
| Elsie Francis · Elsie Alva | 1011 Camino Del Rio S 300, San Diego, CA 92108 | Student in an Organized Health Care Education/Training Program | 2025-09-02 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kimberly Swidergal · Kimberly Looney | 901 S Madison Ave, La Grange, IL 60525-2810 | Physical Therapist | 2026-04-15 |
| Kimberly Sebastian · Kimberly Zeller | 4655 Sw Griffith Dr Ste 180, Beaverton, OR 97005-8732 | Massage Therapist | 2026-04-30 |
| Kimberly Mcmillan · Kimberly Marie Kohler | 107 N Union Blvd, Colorado Springs, CO 80909-5703 | Counselor | 2026-02-02 |
| Kimberly Lisa Nicholson-Smith | 1201 Eagle Street Joliet Va Clinic, Joilet, IL 60432 | Audiologist | 2023-04-28 |
| Sarah Turner Peele | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | Registered Dietitian | 2026-03-06 |
| Kimberly A. Shilton · Kimberly A. Kleiman | N4690 Giachino Rd, Iron Mountain, MI 49801-9560 | Registered Nurse | 2026-04-10 |
| Kimberly A Robledo · Kimberly A Melanson | 200 Bent Creek Blvd Ste 2, Mechanicsburg, PA 17050-1938 | Behavior Technician | 2026-03-12 |
| Kimberly E Kaumeheiwa · Kimberly E Wenberg | Unitedhealth Group, 9900 Bren Road East, Mn 008-B213, Minnitonka, MN 55343 | Nurse Practitioner | 2007-10-02 |
| Kimberly Hernandez · Kimberly Diana Perez | 13574 Village Park Dr Unit 200, Orlando, FL 32837-7694 | Physical Therapy Assistant | 2026-02-18 |
| Kimberly A Wakefield · Kimberly A Engler | 421 Walnut St, Farmington, MN 55024-1344 | Speech-Language Pathologist | 2026-02-24 |
Do you have more infomration about Kimberly P. Cockerham? Please fill in the following form.
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. |