NPIMap

Individual provider Active NPI

Kevin Violette, PA

  • Physician Assistant
  • Oakhurst, CA
National Provider Identifier
1639644628
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56051 Issued in CA
Practice address
48677 Victoria LN
Oakhurst, CA 93644-9216
Phone
(559) 683-2711
Fax
(559) 683-0672
NPI assigned
Oct 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56051 CA Primary

Addresses

Primary practice location

48677 Victoria LN
Oakhurst, CA 93644-9216

Mailing address

48677 Victoria LN
Oakhurst, CA 93644-9216
Phone (559) 683-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190218001107 CA Practitioner - Physician Assistant 9830437813 Reassigns benefits to 1 organization
I20230601003286 TX Practitioner - Physician Assistant 9830437813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plumas District HospitalGroup PAC ID 8224930466, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-2121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jan 5, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 24, 2023 Accepting new patients
Southeast Alaska Regional Health Constortium CurrentSince May 24, 2023 Accepting new patients
Camarena Health CurrentSince Jan 5, 2019 Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

209 Moller Ave
Ste 100
Sitka, AK 99835
Phone (907) 747-1771

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

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 and National Provider Directory roles.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1639644628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LN",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-2711",
            "fax_number": "559-683-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LN",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-2711",
            "fax_number": "559-683-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETTE",
        "first_name": "KEVIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.