Individual provider Active NPI

Kemella Sillah

  • Family Nurse Practitioner
  • Fall River Mills, CA
National Provider Identifier
1568942506
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008927 Issued in CA
Practice address
Fall River Valley Health Center
43658 Ca-299
Fall River Mills, CA 96028
Phone
(530) 999-9020
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008927 CA Primary
Nurse Practitioner 363L00000X 268740 AZ

Addresses

Primary practice location

Fall River Valley Health Center
43658 Ca-299
Fall River Mills, CA 96028

Mailing address

3949 Breakwater LN
Lake Havasu City, AZ 86406-4351
Phone (213) 270-4406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190605000195 CA Practitioner - Nurse Practitioner 1951634062 Reassigns benefits to 2 organizations
I20250328000858 AZ Practitioner - Nurse Practitioner 1951634062

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Paz Regional Hospital IncGroup PAC ID 1557273356, shared by 7 NPIs, 50 clinicians

Practice addresses (Care Compare)

39726 Harquahala Mine Rd
Salome, AZ 85348
Phone (928) 859-3460

Hospital & facility affiliations

  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Healthcare PLLC Nurse Practitioner CurrentSince Jan 19, 2025 Accepting new patients
Mountain Valleys Health Centers CurrentSince Dec 1, 2025 Accepting new patients
Mountain Valleys Health Centers CurrentSince Dec 1, 2025 Accepting new patients

Locations

554-850 Medical Center Dr
Bieber, CA 96009
Phone (530) 294-5629

Organizations & group practices 5

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1568942506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 BREAKWATER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864064351",
            "telephone_number": "213-270-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FALL RIVER VALLEY HEALTH CENTER",
            "address_2": "43658 CA-299",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "96028",
            "telephone_number": "530-999-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLAH",
        "first_name": "KEMELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008927",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "268740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River Mills, CA

Sources for this page

Verify at the official NPI Registry.