Individual provider Active NPI

Aaron Clothier, P.A.

  • Physician Assistant
  • Hawthorne, CA
National Provider Identifier
1760767149
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21883 Issued in CA
Practice address
11539 Hawthorne Blvd
Suite 6E
Hawthorne, CA 90250-2381
Phone
(310) 675-5370
Fax
(310) 531-2084
NPI assigned
Oct 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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 PA21883 CA Primary

Addresses

Primary practice location

11539 Hawthorne Blvd
Suite 6E
Hawthorne, CA 90250-2381

Mailing address

11539 Hawthorne Blvd
6TH Floor
Hawthorne, CA 90250-2325
Phone (310) 675-5370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000954 CA Practitioner - Physician Assistant 5597930677 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21883CAMDGeneral Practice Registered Nurse
PA21883CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Mar 2, 2024 Accepting new patients
Family Healthcare Network CurrentSince Mar 2, 2024 Accepting new patients
Axminster Medical Group Past Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • Direct secure messaging: aaron.clothier@fhcn.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1760767149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11539 HAWTHORNE BLVD",
            "address_2": "6TH FLOOR",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502325",
            "telephone_number": "310-675-5370",
            "fax_number": "310-531-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11539 HAWTHORNE BLVD",
            "address_2": "SUITE 6E",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502381",
            "telephone_number": "310-675-5370",
            "fax_number": "310-531-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOTHIER",
        "first_name": "AARON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.