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

Kimberly G Shepard, MD

Individual provider Otolaryngology Physician · NPI 1720183395

Kimberly G Shepard, MD is an Otolaryngology in San Jose, California. Graduated from Geisel School of Medicine at Dartmouth in 1991, 35 years ago. Practices with County of Santa Clara, a 993-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Trained at
Geisel School of Medicine at Dartmouth
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

751 S Bascom Ave ENT Clinic
San Jose, CA 95128-2604
Phone: (408) 885-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence G75979 (CA)

Record details

NPI number1720183395
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESSeptember 12, 2007
Mailing address751 S Bascom Ave, San Jose, CA 95128-2604

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 1991 (35 years in practice)
Group practice County Of Santa Clara — 993 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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