KIMBERLY P. COCKERHAM MD – NPI #1366493629
Ophthalmology

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.

Health Care Provider Taxonomy Code for Ophthalmology

KIMBERLY COCKERHAM is an ophthalmologist located in SAN DIEGO, CA. NPPES has assigned the NPI number 1366493629 to KIMBERLY COCKERHAM on May 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name KIMBERLY PEELE. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0109X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Neuro-ophthalmology

The NPI profile was last updated on Nov 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY COCKERHAM below.

NPI Profile for
KIMBERLY P. COCKERHAM

NPI Number
1366493629
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIMBERLY P. COCKERHAM
Other Name: KIMBERLY PEELE
Credentials
MD
Primary location
3636 CAMINO DEL RIO N STE 200
SAN DIEGO, CA 92108-1702
Phone: (619) 655-3705 Fax:
2 Other location(s):
5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 655-3705
3969 4th Ave Ste 301
San Diego, CA 92103-3165
Phone: (619) 655-3705
Mailing address
PO BOX 503148
SAN DIEGO, CA 92150-3148
Phone: (650) 804-9270 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIMBERLY COCKERHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA00G868850
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0109X
- Ophthalmology / Neuro-ophthalmology (Primary)		 CA G86885
207W00000X
- Ophthalmology		 CA G86885

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KIMBERLY COCKERHAM is affiliated with the following medical group(s):
  • HOSPITAL
    • DOCTORS HOSPITAL OF MANTECA
      1205 E NORTH STREET
      MANTECA, CA 95336
    • GROSSMONT HOSPITAL
      5555 GROSSMONT CENTER DRIVE BOX 58
      LA MESA, CA 91942
    • SHARP CORONADO HOSPITAL AND HLTHCR CTR
      250 PROSPECT PLACE
      CORONADO, CA 92118
    • SHARP MEMORIAL HOSPITAL
      7901 FROST ST
      SAN DIEGO, CA 92123

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