KIMBERLY NICOLE OVIEDO AMAGUAYO PA-C
NPI 1710728688
Physician Assistant - Medical in Fresno, CA

Active since June 04, 2024PECOS Enrolled
2823 FRESNO ST, FRESNO, CA 93721(559) 459-6000 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2025, Jun 4, 2024 (2 updates tracked since 2024).

About Kimberly Nicole Oviedo Amaguayo Pa-c NPPES

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

KIMBERLY NICOLE OVIEDO AMAGUAYO PA-C (NPI 1710728688) is an individual medical provider in Fresno, California, licensed in California (67325) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710728688
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY NICOLE OVIEDO AMAGUAYOCredential: PA-C
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 4, 2024
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1710728688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 67325
Also ListedPhysician AssistantTaxonomy 363A00000X · License 67325 (CA)
2823 FRESNO ST, Fresno, CA 93721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Nicole Oviedo Amaguayo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052898459
PECOS Enrollment IDI20260115003556
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.

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.

Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721

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 Oviedo Amaguayo's NPI number?

The NPI number for Kimberly Oviedo Amaguayo is 1710728688. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Kimberly Oviedo Amaguayo located?

Kimberly Oviedo Amaguayo practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 459-6000.

What is Kimberly Oviedo Amaguayo's specialty?

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

Is Kimberly Oviedo Amaguayo enrolled in Medicare?

Yes. Kimberly Oviedo Amaguayo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Oviedo Amaguayo was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.