Individual provider Active NPI

Kevin Lowe, PA-C

  • Surgical Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1659644870
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
64402 Issued in CA
Practice address
2405 Shadelands Dr Ste 300
Walnut Creek, CA 94598-5906
Phone
(925) 939-8585
NPI assigned
Feb 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA164327 OR
Surgical Physician Assistant 363AS0400X 64402 CA Primary

Addresses

Primary practice location

2405 Shadelands Dr Ste 300
Walnut Creek, CA 94598-5906

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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
I20140916000064 OR Practitioner - Physician Assistant 3072732551 Reassigns benefits to 1 organization
I20240716000555 CA Practitioner - Physician Assistant 3072732551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Sand Creek Rd
Suite B
Brentwood, CA 94513-2540
Phone (925) 939-8585

2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone (925) 939-8585

3315 Broadway
Oakland, CA 94611-5717
Phone (800) 943-8099

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center of Oregon LLC Single Specialty CurrentSince Aug 4, 2014 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jul 1, 2024 Accepting new patients
Golden State Orthopedics & Spine Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Golden State Orthopedics & Spine Single Specialty Past Accepting new patients

Locations

3315 Broadway
Oakland, CA 94611
Phone (510) 486-2300

3315 Broadway
Fl 1
Oakland, CA 94611
Phone (510) 486-2300

2405 Shadelands Dr
Ste 300
Walnut Creek, CA 94598

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

17355 Boones Ferry Rd
Ste 100A
Lake Oswego, OR 97035
Phone (503) 256-5866

1515 NW 18th Ave
Ste 300
Portland, OR 97209

Interoperability endpoints

  • Direct secure messaging: klowe691386@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kevin.lowe.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 4

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": "1329523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1659644870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-939-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 SHADELANDS DR STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985906",
            "telephone_number": "925-939-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-18",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA164327",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "64402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.