Individual provider · Type 1 NPI

Kimberly Nicole Oviedo Amaguayo, PA-C

Medical Physician Assistant · Fresno, CA

NPI number 1710728688 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-6000 Map

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Other practice locations

  • 2730 S Moody Ave, Portland, OR 97201-5042 · (503) 494-3633

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X67325 (CA)
Medical Physician Assistant Primary 363AM0700X67325 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1710728688

Kimberly Nicole Oviedo Amaguayo, PA-C's National Provider Identifier is 1710728688, issued on Jun 4, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Dec 3, 2025.