Individual provider · Type 1 NPI

Kimberly Marie Reno, PA-C

Physician Assistant · San Diego, CA

NPI number 1679902803 Active

Practice location

4060 4th Ave #700
San Diego, CA 92103

Call (619) 299-8500 Map

Fax (619) 299-3370

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 105 E 9th St, Coralville, IA 52241-2209 · (319) 467-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X007055 (GA)
Physician Assistant 363A00000XPA60679 (CA)
Physician Assistant Primary 363A00000X5601008333 (MI)

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 1679902803

Kimberly Marie Reno, PA-C's National Provider Identifier is 1679902803, issued on Nov 7, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 2, 2026.