Kenneth R Gillen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15850 Issued in CA

Practice address

277 Cohasset Rd
Chico, CA 95926-2242

Phone

(530) 872-6650

NPI assigned

Mar 23, 2006

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paradise Medical Group IncGroup PAC ID 1456246065, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
• Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
• Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
• Enloe Health Hospital, Chico, CA, CCN 050039
• Oroville Hospital Hospital, Oroville, CA, CCN 050030

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ken.gillen.1@10649.direct.athenahealth.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.

• Paradise Medical Group, Inc.

  • Family Medicine Physician
  • Paradise, CA
  • NPI 1235111006
  Medicare reassignment Care Compare group
• Feather River Hospital

  dba Adventist Health Feather River

  • General Acute Care Hospital
  • Paradise, CA
  • NPI 1518940667
  NPD (past)

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

• Adventist Health Clearlake Hospital Inc.

  dba Adventist Health Clear Lake

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Care Compare affiliation
• Butte Home Health Inc.

  • Home Health Agency
  • Chico, CA
  • NPI 1568492700
  Care Compare affiliation
• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Valley View Healthcare Services LLC

  • Home Health Agency
  • Chico, CA
  • NPI 1083207237
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1225098494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N LIBBY RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694215",
            "telephone_number": "530-872-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262242",
            "telephone_number": "530-872-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7068 Skyway",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693940",
            "country_code": "US",
            "telephone_number": "530-877-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akashdeep Gill, DO
• Jacob Gill
• Jasmine Gill, MD
• Navdeep Gill
• Rebecca Gillander, MA, CCC-SLP
• Nicolette Fay Gillespie
• Rusty Eugene Gilmore, PH.D.
• Helene Carol Ginsberg, LCSW
• Janette Giralico-Wyman, AMFT
• Glad Investments, Inc. (Riverside Convalescent Hospital)

• Medical Physician Assistant in Chico, CA
• Providers in Chico, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.