Individual provider · Type 1 NPI

Emily Kimball

Surgical Physician Assistant · San Diego, CA

NPI number 1649979659 Active

Practice location

4060 4th Ave Ste 700
San Diego, CA 92103-2121

Mailing address

818 Eugenie Ave
Encinitas, CA 92024-2326

Other practice locations

  • 1075 E Betteravia Rd Ste 201, Santa Maria, CA 93454-7023 · (805) 621-7644

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA63372 (CA)
Physician Assistant 363A00000XPA63372 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1649979659

Emily Kimball's National Provider Identifier is 1649979659, issued on Feb 28, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Apr 24, 2026.