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

Kimberly Anderson, PA

Individual provider Physician Assistant · NPI 1184804767

Kimberly Anderson, PA is a Physician Assistant in Oakland, California. Qualified in 2006, 20 years ago. Practices with Advanced Pain Diagnostic and Solutions Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

405 14th St Ste 712
Oakland, CA 94612-2715
Phone: (562) 243-3072
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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 PA18725 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA18725 (CA)

Record details

NPI number1184804767
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 12, 2007
Last updated in NPPESFebruary 22, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advanced Pain Diagnostic And Solutions Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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