Active NPI
Aaron Clothier, P.A.
- Physician Assistant
- Hawthorne, CA
National Provider Identifier
1760767149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21883
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21883 | CA | MD | General Practice Registered Nurse |
| PA21883 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1053875484
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1538160098
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.