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

Kimberly Nadia Soorajbally, PA-C

Individual provider Surgical Physician Assistant · NPI 1689945933

Kimberly Nadia Soorajbally, PA-C is a Physician Assistant in Stanford, California. Qualified in 2008, 18 years ago. Practices with Stanford Health Care, a 3,085-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
18
Licensed in
CA, MA
In the registry since
2012
Specialties on file
3
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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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 53240 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3756 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA53240 (CA)

Record details

NPI number1689945933
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2012
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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