MS. KIMBERLEE J KNOX (NPI# 1619974623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619974623 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLEE J KNOX |
| Credential | PA-C |
| Practice Address |
3307 4th Ave San Diego CA 92103-5703 |
| Practice Telephone | 6193475771 |
| Mailing Telephone | 6193475771 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA15400 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3307 4TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477932978 | Mobile Wound Care Physician Assistant Corporation | Physician Assistant | 2028 31st St, San Diego, CA 92104-5632 | 2015-05-29 |
| 1437454220 | Peter Deane Houston | Physician Assistant | 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 | 2011-01-25 |
| 1720288087 | Laura Ruth Duffy | Physician Assistant | 1643 6th Ave, #204, San Diego, CA 92101-2757 | 2007-07-24 |
| 1861539348 | Norman K Moser | Physician Assistant | 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 | 2007-01-31 |
| 1538214515 | Shaun D Young | Physician Assistant | 8901 Activity Road, San Diego, CA 92126 | 2007-01-23 |
| 1174612170 | Jonathan Wu | Physician Assistant | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2006-10-11 |
| 1982798112 | Virginia Ann Floco | Physician Assistant | 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 | 2006-10-03 |
| 1366464471 | Colleen Gustafson Espenschied | Physician Assistant | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
| 1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
| 1073519278 | James Harvey Kimber | Physician Assistant | 12547 El Camino Real, Unit E, San Diego, CA 92130-4054 | 2005-06-22 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.