KIMBERLY I DIAZ PA-C - NPI 1366623639 - Physician Assistant in San Antonio, TX

Q: What is Kimberly Diaz's NPI number?

The NPI number for Kimberly Diaz is 1366623639. It was assigned to this individual provider in the NPPES registry on November 15, 2007. The provider is also known as Kim I Diaz Preferred Name.

Q: What is Kimberly Diaz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Diaz was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly I Diaz Pa-c NPPES

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

KIMBERLY I DIAZ PA-C (NPI 1366623639) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA04144) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1366623639

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIMBERLY I DIAZCredential: PA-C

Location Address7323 MARBACH RD STE 104San Antonio, TX 78227-1905

Mailing Address7323 Marbach Rd Ste 104San Antonio, TX 78227-1905 · (210) 674-0257 · Fax (210) 369-9064

Phone(210) 674-0257

Fax(210) 369-9064

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 15, 2007

Last NPPES UpdateDecember 10, 20258 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1366623639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA04144

7323 MARBACH RD STE 104, San Antonio, TX 78227

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Other Names 1

Other Name (5)Kim I Diaz Preferred Name

Other Identifiers 5

Other741833622TX · Grp Practice Tax Id

Other1508813494TX · Group Practice Npi

OtherPA04144TX · Physician Assistant License

Other1366623639TX · Kimberly I. Diaz, Pa-c - Npi

Medicaid1366623639TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly I Diaz Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961530951

PECOS Enrollment IDI20100512000832

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

94 services73 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services21 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

16 services13 patients

Other Providers at the Same Location NPPES 7

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

DANIEL H KELLUM SR. DO

Family Medicine