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

Dr. Kimberly P. Cockerham, MD

Individual provider Ophthalmology Physician · NPI 1366493629

Dr. Kimberly P. Cockerham, MD is an Ophthalmology in San Diego, California. Qualified in 1987, 39 years ago. Practices with St Lukes at the Villages PA, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

3636 Camino Del Rio N Ste 200
San Diego, CA 92108-1702
Phone: (619) 655-3705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 — (619) 655-3705
  • 3969 4th Ave Ste 301, San Diego, CA 92103-3165 — (619) 655-3705

Specialties & licences

Neuro-ophthalmology Physician (primary) Taxonomy 207WX0109X · Licence G86885 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence G86885 (CA)

Record details

NPI number1366493629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice St Lukes At The Villages Pa — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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