Aaron Christopher Kissel, M.D.
Individual provider Active NPI Family Medicine Physician · North Fork, CA
NPI 1477565356 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1477565356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A065462 (CA)
- Practice address
- 32938 Road 222
Suite 2
North Fork, CA 93643-9562 - Phone
- (559) 877-4676
- Fax
- (559) 877-7788
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Valley Indian Health Inc
Practice addresses (Care Compare)
255 W Bullard Ave
Clovis, CA 93612-0861
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264
29323 Auberry Rd
Prather, CA 93651-9757
Phone (559) 855-5390
Hospital & facility affiliations
- Clovis Community Medical Center
- Adventist Health Reedley
- Community Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090327000551 | CA | Practitioner - Family Practice | 5597822007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65462 | CA | MD | Marriage & Family Therapist |
| A065462 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Indian Health, Inc. | Family Medicine | Current |
Accepting new patients |
| Central Valley Indian Health, Inc | Family Medicine | Current |
Accepting new patients |
| Central Valley Indian Health Inc | Family Medicine | Current | Accepting new patients |
| Central Valley Indian Health Inc | Family Medicine | Current | Accepting new patients |
| Saint Agnes Medical Center | Past | Accepting new patients | |
| Sutter Delta Medical Center | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
20 N Dewitt Ave
Clovis, CA 93612
Phone (559) 299-2578
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
16835 Alkali Dr
Ste M
Lemoore, CA 93245
Phone (559) 924-0460
32938 Road 222
#2
North Fork, CA 93643
Phone (559) 299-4264
29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A065462 | CA | Yes |
Addresses
Primary practice location
32938 Road 222
Suite 2
North Fork, CA 93643-9562
Mailing address
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-2608
Other names
- Aaron Christopher Kissel
Other providers in North Fork, CA
- Eminence Healthcare, Inc.
- Eminence Healthcare, Inc.
- Edmund H Fey
- Tia Hartsock
- Angel Killian
- Maya Joanna Krolikiewicz
- Martha Carole Moore
All providers in North Fork, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.