Kirk Hamilton, P.A.,C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11343 Issued in CA

Practice address

3301 Alta Arden Expy
Suite 3
Sacramento, CA 95825-2121

Phone

(916) 489-4400

Fax

(916) 489-1710

NPI assigned

Apr 10, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457574386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194205",
            "telephone_number": "916-716-2295",
            "fax_number": "916-489-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ALTA ARDEN EXPY",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252121",
            "telephone_number": "916-489-4400",
            "fax_number": "916-489-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KIRK",
        "credential": "P.A.,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PA11343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deane D Hamilton
• Jasmine Joyce Hamilton, CNA
• Jean Hamilton
• Jeri Hamilton
• Julia Jean Hamilton
• Nicholas Jacob Hamilton
• Shamari Hamilton
• Shantelle Hamilton
• Sylvia Ann Hamilton, PH. D.
• Zachary Troy Hamilton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.