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

Kimberly Ruiz Dizon, MHS, PA-C

Individual provider Physician Assistant · NPI 1942633318

Kimberly Ruiz Dizon, MHS, PA-C is a Physician Assistant in Stockton, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1530 E Hammer Ln
Stockton, CA 95210
Phone: (209) 954-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9516 Coney Island Cir, Elk Grove, CA 95758-3646 — (510) 375-4778
  • 1530 E Hammer Ln, Stockton, CA 95210 — (209) 954-3200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56200 (CA)

Record details

NPI number1942633318
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESSeptember 17, 2019

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