Emily Kimball

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA63372 Issued in CA

Practice address

4060 4TH Ave Ste 700
San Diego, CA 92103-2121

Phone

(619) 299-8500

NPI assigned

Feb 28, 2023

Last updated

Apr 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Orthopaedic Institute Medical Associates IncGroup PAC ID 1456246388, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Merit-based Incentive Payment System (MIPS)

Final score

80.37 of 100Reported as group

Quality

70.02

Improvement activities

40

Cost

74.54

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ekimball@sdoa1999.srs-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Orthopaedic Institute Medical Associates, Inc

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1245290899
  Medicare reassignment Care Compare group NPD
• San Diego Orthopaedic Associates Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1407817448
  Medicare reassignment
• California Orthopaedic Institute Medical Associates, Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1659317204
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  dba Scripps Mercy Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1649979659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 EUGENIE AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242326",
            "telephone_number": "760-518-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE STE 700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-299-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 E Betteravia Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934547023",
            "country_code": "US",
            "telephone_number": "805-621-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63372",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA63372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yung Shin Kim, D.D.S
• Yunmi Kim
• Kimball Dental Group of Mission Valley, PC (Rio Vista Family Dentistry)
• Amy L Kimball, M.D.
• Dale W Kimball, O.D.
• Kara Kimball
• Michael Patton Kimball, M.D.
• Sarah Elise Kimball
• Sunwook Kimbang, LCSW
• Sara Beth Kimber

• Surgical Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.