Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Michele Berry-Divinagracia, PA-C

Individual provider Physician Assistant · NPI 1205059086

Kimberly Michele Berry-Divinagracia, PA-C is a Physician Assistant in LA Jolla, California. Qualified in 2006, 20 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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

10666 N Torrey Pines Rd Mail Drop Mc 100C
LA Jolla, CA 92037-1027
Phone: (858) 678-6886
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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 19019 (CA)

Record details

NPI number1205059086
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESJanuary 27, 2012

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 Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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