Active NPI
Clinton Kershaw, PA-C
- Physician Assistant
- Selma, CA
National Provider Identifier
1467257972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65715
- Practice address
- 2705 Highland Ave
Selma, CA 93662-3389 - Phone
- (800) 492-4227
- NPI assigned
- Feb 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA65715 | CA | Primary |
Addresses
Primary practice location
2705 Highland Ave
Selma, CA 93662-3389
Mailing address
2705 Highland Ave
Selma, CA 93662-3389
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250320003361 | CA | Order and Referring Only - Physician Assistant | 2365964111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA65715 | CA | MD | Physician Assistant |
Interoperability endpoints
- clinton.kershaw.p1@direct.ariachc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1467257972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 HIGHLAND AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 HIGHLAND AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623389",
"telephone_number": "800-492-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHAW",
"first_name": "CLINTON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-18",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA65715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.