Kin D Bates Sr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12540 Issued in CA

Practice address

3330 Churn Creek Rd Ste D4
Redding, CA 96002-2532

Phone

(530) 222-3287

Fax

(530) 222-8547

NPI assigned

Jul 19, 2006

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

Other identifiers 1

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Heart and Vascular Institute Inc Medical AssociatesGroup PAC ID 2961455449, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042

Merit-based Incentive Payment System (MIPS)

Final score

91.66 of 100Reported as group

Quality

90.44

Improvement activities

40

Cost

71.56

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEJFAA/Endpoint/GEJFAA

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.

• Northern Heart & Vascular Institute Inc Medical Associates

  • Cardiovascular Disease Physician
  • Redding, CA
  • NPI 1508912452
  Medicare reassignment Care Compare group
• Gateway Medical Center Inc

  • General Practice Physician
  • Anderson, CA
  • NPI 1275685414
  NPD (past)
• Gateway Medical Services, Inc.

  • Family Medicine Physician
  • Palo Cedro, CA
  • NPI 1770993370
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • Red Bluff, CA
  • NPI 1083732853
  Care Compare affiliation
• Dignity Health

  • Rural Health Clinic/Center
  • Corning, CA
  • NPI 1609246461

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1265452809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010427",
            "telephone_number": "530-244-3278",
            "fax_number": "530-244-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CHURN CREEK RD STE D4",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022532",
            "telephone_number": "530-222-3287",
            "fax_number": "530-222-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KIN",
        "middle_name": "D",
        "name_suffix": "Sr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA12540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert G Basinger, DPM
• Dilpreet Basram
• Roberta Jo Bass, AU.D.
• Shasta L. Bateman
• Aimee Bates, RN
• Angela M Batini, M.S.
• Emily Batini
• Jamie Lorn Baudizzon, THERAPIST
• Ellen Bauer
• Ewa Bauer, M.D.

• Physician Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.