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

Individual provider Physician Assistant · NPI 1396614053

Kimberly Vidana, PA-C is a Physician Assistant in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2025, 1 year ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2025
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

11234 Anderson St
Loma Linda, CA 92350-1716
Phone: (909) 558-4013
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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 PA67437 (CA)

Record details

NPI number1396614053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2025
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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