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MS. KIMBERLY PENASO PA-C
NPI 1174809164
Physician Assistant in Santa Cruz, CA

Active since October 23, 2011
2907 CHANTICLEER AVE, SANTA CRUZ, CA 95065(650) 934-3546 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Penaso Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY PENASO PA-C (NPI 1174809164) is an individual physician assistant in Santa Cruz, California, licensed in California (52672) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1174809164
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KIMBERLY PENASOCredential: PA-C
Location Address2907 CHANTICLEER AVESanta Cruz, CA 95065-1815
Mailing Address2350 W El Camino Real, Floor 2Mountain View, CA 94040-6201 · (650) 394-3546
Phone(650) 934-3546
Sole ProprietorNo
Enumeration DateOctober 23, 2011
Last NPPES UpdateJune 28, 2016
✔ NPI 1174809164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52672
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2907 CHANTICLEER AVE, Santa Cruz, CA 95065
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE NICHOLE KENNEY M.D.
Obstetrics & Gynecology
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2375
AARRON FLOWERS
Podiatrist
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2325
MS. SLOAN PEARCE LARSON NP-C
Nurse Practitioner
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2325
ANGELA WINSTON VARGAS CNM
Advanced Practice Midwife
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2375
MS. KATHRYN RAE MILLAR MPH, MSN, CNM, RN
Advanced Practice Midwife
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2373
DR. HILLARY CHRISTINE PARK DO
Obstetrics & Gynecology
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2375
DR. CARL BRANDON LINDBERG D.P.M
Podiatrist (Foot & Ankle Surgery)
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2325
ADWOA CHRISTY MD
Obstetrics & Gynecology
2907 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Penaso's NPI number?

The NPI number for Kimberly Penaso is 1174809164. It was assigned to this individual provider in the NPPES registry on October 23, 2011.

Where is Kimberly Penaso located?

Kimberly Penaso practices at 2907 Chanticleer Ave, Santa Cruz, CA 95065. The listed phone number is (650) 934-3546.

What is Kimberly Penaso's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Penaso was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.