Individual provider · Type 1 NPI

Kimberly Penaso, PA-C

Physician Assistant · Santa Cruz, CA

NPI number 1174809164 Active

Practice location

2907 Chanticleer Ave
Santa Cruz, CA 95065-1815

Mailing address

2350 W El Camino Real, Floor 2
Mountain View, CA 94040-6201

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X52672 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174809164

Kimberly Penaso, PA-C's National Provider Identifier is 1174809164, issued on Oct 23, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Jun 28, 2016.