Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beverley Kornder, MD

Individual provider Family Medicine Physician · NPI 1477583110

Beverley Kornder, MD is a General Practice in Simi Valley, California. Qualified in 1987, 39 years ago. Practices with Walter Thomas MD a Medical Corporation, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1980 Sequoia Ave
Simi Valley, CA 93063-3167
Phone: (805) 527-1804
Fax: (805) 527-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A48072 (CA)

Record details

NPI number1477583110
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 4, 2006
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address1980 Sequoia Ave, Simi Valley, CA 93063-3167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Walter Thomas Md A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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