NPIMap

Individual provider Active NPI

Claire A Austin, PA

  • Physician Assistant
  • Clovis, CA
National Provider Identifier
1578579702
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53420 Issued in CA
Practice address
1555 Shaw Ave Ste 101
Clovis, CA 93611-4096
Phone
(559) 324-7001
Fax
(559) 324-7033
NPI assigned
Jul 31, 2006
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA53420 CA
Physician Assistant 363A00000X PA53420 CA Primary

Addresses

Primary practice location

1555 Shaw Ave Ste 101
Clovis, CA 93611-4096

Mailing address

1555 Shaw Ave Ste 101
Clovis, CA 93611-4096
Phone (559) 324-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230919003380 TX Practitioner - Physician Assistant 8527127497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA53420CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Specialists, PC Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients
Phoenixville Emergency Care Specialists, LLC Past Accepting new patients
Health Access Network Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Delmar Emergency Specialists PA Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1578579702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114096",
            "telephone_number": "559-324-7001",
            "fax_number": "559-324-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114096",
            "telephone_number": "559-324-7001",
            "fax_number": "559-324-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CLAIRE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53420",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.