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

Kimberly Nicole Oviedo Amaguayo, PA-C

Individual provider Physician Assistant · NPI 1710728688

Kimberly Nicole Oviedo Amaguayo, PA-C is a Physician Assistant in Fresno, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2024
Specialties on file
2
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

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 S Moody Ave, Portland, OR 97201-5042 — (503) 494-3633

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 67325 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 67325 (CA)

Record details

NPI number1710728688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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