NPPES file of Aug 9, 2026

Kimberly Peterson, O.D.

Optometrist · Rialto, CA

Kimberly Peterson, O.D. is an optometrist with a practice address in Rialto, California, and NPI 1922141175, issued on Feb 15, 2007. Check the license (California OP11094T, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1922141175
Name
Kimberly Peterson
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
OP11094T CA
Self-reported in NPPES; status is on the state search
Practice location
1850 N Riverside Ave, Rialto, CA 92376
Phone
(909) 421-3030
Enumerated
Feb 15, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(909) 421-3059
Medicaid ID
SD0110940 CA
Medicare enrollment
Enrolled (PECOS I20100908000253); accepts Medicare assignment
Medical or professional school
Southern California College Of Optometry, 1998
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest optometrist records → All 8,308 in California → Look up another NPI →

Also registered at 1850 N Riverside Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Salvador Abiera, D.P.T., P.T.Geriatric Physical Therapist1760494843
  2. Delfin Dano, MDPediatrics Physician1164505020
  3. Gary Freestone, ODOptometrist1336214998
  4. Hedyeh Golshan, M.D.Internal Medicine Physician1174582688
  5. Jesse Guadiz, M.D.Family Medicine Physician1558317933
  6. Nauz Hassanshahi, ODOptometrist1497266357

Verify Kimberly Peterson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license OP11094T    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Kimberly Peterson OD IncRialto, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kimberly Peterson among 8,308 optometrist records in California

Kimberly Peterson, O.D. is one of 8,308 optometrist records with a practice address in California. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 34% of them.

  • NPI issued2007 · 34% of these records are older, 46% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated1998 · median 2008 among the 3,573 with a school on file
  • Record last updated2007 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in California

There are 8,308 optometrist records in California.

All 8,308 in California → Every provider in Rialto → Optometrist nationwide →

The 8 optometrist records with the nearest ZIP codes

  1. Gary Freestone, ODRialto, CA 923761336214998
  2. Nauz Hassanshahi, ODRialto, CA 923761497266357
  3. Shine Kikawa, O.D.Rialto, CA 923761568736890
  4. Andrew Ngo, O.D.Rialto, CA 923761033542071
  5. Susan Sawyer, O.D.Rialto, CA 923761518073709
  6. Phuong To, O.D.Rialto, CA 923761215070461
  7. Dennis Wong, O.D.Rialto, CA 923761245438365
  8. Dixon Wong, O.D.Rialto, CA 923761811196967

Common questions

What is Kimberly Peterson, O.D.'s NPI number?

Kimberly Peterson, O.D.'s National Provider Identifier (NPI) is 1922141175, issued on Feb 15, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Kimberly Peterson, O.D. located?

The NPPES record lists a practice address at 1850 N Riverside Ave, Rialto, CA, 92376. Phone: (909) 421-3030. Providers update this record themselves, so call before visiting.

How can I verify Kimberly Peterson, O.D.'s license?

NPPES lists California license number OP11094T, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.