Individual provider Active NPI

Kirsten Brooke Griffin Schwab, PA-C

  • Physician Assistant
  • Chico, CA
National Provider Identifier
1063722486
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 22753 Issued in CA
Practice address
95 Declaration Dr
Chico, CA 95973-4916
Phone
(530) 894-6832
Fax
(530) 342-4199
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 22753 CA Primary
Physician Assistant 363A00000X 005946 GA

Addresses

Primary practice location

95 Declaration Dr
Chico, CA 95973-4916

Mailing address

5974 Pentz Road
Feather River Hospital Emergency Department
Paradise, CA 95969
Phone (530) 877-9361

Other practice location 1

80 Declaration Dr
Chico, CA 95973-4900
Phone (530) 894-6832 ext. 731

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kschwab@hodarimd.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130128000233 CA Practitioner - Physician Assistant 3870780869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hodari MD Dermatology IncGroup PAC ID 0244575827, 9 clinicians

Practice addresses (Care Compare)

1178 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 894-6832

672 Oro Dam Blvd E
Suite 202
Oroville, CA 95965-5747
Phone 5305333571731

80 Declaration Dr
Chico, CA 95973-4900
Phone (530) 894-6832

95 Declaration Dr
Suite 1
Chico, CA 95973-4916
Phone (530) 894-6832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22753CAMDMarriage & Family Therapist
PA 22753CAMDPhysician Assistant
005946GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Feb 1, 2013 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Interoperability endpoints

  • Direct secure messaging: kschwab@hodarimd.com
  • Direct secure messaging: kirsten.schwab@oconeeregional.gadirect.net

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1063722486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5974 PENTZ ROAD",
            "address_2": "FEATHER RIVER HOSPITAL EMERGENCY DEPARTMENT",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-877-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DECLARATION DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734916",
            "telephone_number": "530-894-6832",
            "fax_number": "530-342-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Declaration Dr",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959734900",
            "country_code": "US",
            "telephone_number": "530-894-6832 x731",
            "fax_number": "530-342-4199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "KIRSTEN",
        "middle_name": "BROOKE GRIFFIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 22753",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kschwab@hodarimd.com",
            "affiliation": "N",
            "address_1": "95 Declaration Dr",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959734916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.