Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Jon Kimitsuka, PA-C

Individual provider Physician Assistant · NPI 1518754837

Andrew Jon Kimitsuka, PA-C is a Physician Assistant in Olympia, Washington. Qualified in 2024, 2 years ago. Practices with Capital Medical Center Specialty Physicians LLC, a 104-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3920 Capital Mall Dr SW Ste 100
Olympia, WA 98502-8701
Phone: (360) 706-6250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61633154 (WA)

Record details

NPI number1518754837
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Capital Medical Center Specialty Physicians Llc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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