Individual provider Active NPI

Bryce Anthony Irwin, PA

  • Medical Physician Assistant
  • Ukiah, CA
National Provider Identifier
1316739501
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
67064 Issued in CA
Practice address
234 Hospital Dr
Ukiah, CA 95482-4560
Phone
(707) 463-7356
Fax
(707) 462-4409
NPI assigned
May 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 67064 CA Primary

Addresses

Primary practice location

234 Hospital Dr
Ukiah, CA 95482-4560

Mailing address

268 N 2650 W
Lehi, UT 84043-4319

Other practice location 1

268 N 2650 W
Lehi, UT 84043-4319
Phone (707) 972-6484

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
I20251103003984 CA Practitioner - Physician Assistant 8022508688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67064CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Dec 1, 2025 Accepting new patients
Ukiah Adventist Hospital CurrentSince Dec 1, 2025 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

234 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-0681

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

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": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1316739501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 N 2650 W",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824560",
            "telephone_number": "707-463-7356",
            "fax_number": "707-462-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 N 2650 W",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434319",
            "country_code": "US",
            "telephone_number": "707-972-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "BRYCE",
        "middle_name": "ANTHONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "67064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.