NPIMap

Individual provider Active NPI

Aaron Christopher Kissel, M.D.

  • Family Medicine Physician
  • North Fork, CA
National Provider Identifier
1477565356
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A065462 Issued in 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
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A065462 CA Primary

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 1

  • Aaron Christopher Kissel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000551 CA Practitioner - Family Practice 5597822007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 9931092533, 33 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65462CAMDMarriage & Family Therapist
A065462CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Indian Health Inc Family Medicine Current Accepting new patients
Central Valley Indian Health, Inc. Family Medicine CurrentSince Apr 7, 2010 Accepting new patients
Central Valley Indian Health, Inc Family Medicine CurrentSince Apr 7, 2010 Accepting new patients
Central Valley Indian Health Inc Family Medicine Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Saint Agnes 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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1477565356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116813",
            "telephone_number": "559-299-2608",
            "fax_number": "559-299-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32938 ROAD 222",
            "address_2": "SUITE 2",
            "city": "NORTH FORK",
            "state": "CA",
            "postal_code": "936439562",
            "telephone_number": "559-877-4676",
            "fax_number": "559-877-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "AARON",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A065462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "KISSEL",
            "middle_name": "CHRISTOPHER",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Fork, CA

Sources for this page

Verify at the official NPI Registry.