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

Jeanne Diane Kimura, PSYD

Individual provider Counselor · NPI 1205139268

Jeanne Diane Kimura, PSYD is a Clinical Psychologist in Costa Mesa, California. Qualified in 2015, 11 years ago. Practices with Kima-W Medical Center, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

370 Avocado St Apt 7
Costa Mesa, CA 92627-1671
Phone: (714) 469-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY33292 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1205139268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 14, 2010
Last updated in NPPESJune 6, 2022
Certification dateJune 2, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kima-W Medical Center — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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