SAVANNAH ENDERS KIMBALL (MD) – Obstetrics & Gynecology Physician, NPI 1134625866

SAVANNAH ENDERS KIMBALL (MD) is a healthcare provider. based in El segundo, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. A163699 (CA). The NPI Number for SAVANNAH ENDERS KIMBALL (MD) is 1134625866

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SAVANNAH ENDERS KIMBALL (MD)
NPI
1134625866
Phone
(310) 748-8745
Address
2110 E EL SEGUNDO BLVD STE 220
Enumeration Date
2 April 2018
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Secondary Phone
3103251198
Graduation Year
2018 (8 years ago)
PAC ID
0749669562
Group Practice PAC ID
6901183342
Professional Enrollment ID
I20220623003268
Address ID
CA905055002TO3330XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

Provider Addresses for SAVANNAH ENDERS KIMBALL (MD)

  • 2110 E EL SEGUNDO BLVD STE 220

    EL SEGUNDO, CA 902452743

    Phone: (310) 748-8745

    Fax: (310) 893-0431

    Type: Mailing

  • 2841 Lomita Blvd Ste 200

    Torrance, CA 905055110

    Phone: (310) 784-6822

    Fax: (310) 517-9002

    Type: Location

  • 1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    IPT C3F107

    LOS ANGELES, CA 900331029

    Phone: (323) 409-8848

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $747.

Total Amount is formed as General ($747) + Research ($0) + Ownership ($0) = $747.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($84).

Total Amount

$747

General + Research + Ownership

Payments

32

Total payment records

General Amount

$747

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220623003268IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1212$0
View full utilization report →

Insurance plans in this area (ZIP 90245)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901183342View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Obstetrics/Gynecology, Gynecological OncologyCA

Reviews

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Frequently asked questions

What is the standard ID for SAVANNAH ENDERS KIMBALL (MD) in the U.S.?
In the U.S., SAVANNAH ENDERS KIMBALL (MD) is identified by NPI 1134625866.
Is SAVANNAH ENDERS KIMBALL (MD) currently accepting referrals based on NPI status?
Registry metadata lists SAVANNAH ENDERS KIMBALL (MD) as active.
How should patients interpret SAVANNAH ENDERS KIMBALL (MD)'s specialty?
The extract shows Obstetrics & Gynecology Physician for SAVANNAH ENDERS KIMBALL (MD). Clinical services aligned with this taxonomy classification.
Can patients visit SAVANNAH ENDERS KIMBALL (MD) in El Segundo, California?
For routing, start with El Segundo, California for SAVANNAH ENDERS KIMBALL (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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