EMILY KIMBALL
NPI 1649979659
Physician Assistant - Surgical in San Diego, CA
About Emily Kimball NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY KIMBALL (NPI 1649979659) is an individual surgical provider in San Diego, California, licensed in California (PA63372) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Maria, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Emily Kimball 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.
Areas of Expertise CMS Part B claims 2
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Emily Kimball's NPI number?
The NPI number for Emily Kimball is 1649979659. It was assigned to this individual provider in the NPPES registry on February 28, 2023.
Where is Emily Kimball located?
Emily Kimball practices at 4060 4th Ave Ste 700, San Diego, CA 92103. The listed phone number is (619) 299-8500.
What is Emily Kimball's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Emily Kimball enrolled in Medicare?
Yes. Emily Kimball is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Emily Kimball was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Emily Kimball · NPI 1649979659
Surgical physician in San Diego, California. Individual provider, active in the CMS NPPES registry since February 28, 2023.
## Identity
- **NPI:** 1649979659 (Entity type: Individual)
- **Enumerated:** February 28, 2023
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA63372 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4060 4TH AVE STE 700, San Diego, CA 92103-2121
- **Phone:** (619) 299-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649979659) · Data from the CMS NPPES public registry.