Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Kimball

Individual provider Surgical Physician Assistant · NPI 1649979659

Emily Kimball is a Physician Assistant in San Diego, California. Qualified in 2023, 3 years ago. Practices with California Orthopaedic Institute Medical Associates Inc, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4060 4th Ave Ste 700
San Diego, CA 92103-2121
Phone: (619) 299-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA63372 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA63372 (CA)

Record details

NPI number1649979659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice California Orthopaedic Institute Medical Associates Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego