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

Kimberly Tustison, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1063731297

Kimberly Tustison, MD is an Obstetrics/Gynecology in Corona, California. Qualified in 2010, 16 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
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

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone: (951) 493-6814
Fax: (951) 826-8134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3390 University Ave Ste 100, Riverside, CA 92501 — (844) 827-8000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A131535 (CA)

Record details

NPI number1063731297
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2010
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address21634 Retreat Pkwy, Corona, CA 92883-6100

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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