Frederick Dwayne Gilliam, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

52887 Issued in CA

Practice address

820 S Akers St Ste 120
Visalia, CA 93277-8306

Phone

(559) 625-4118

Fax

(559) 625-6004

NPI assigned

Oct 1, 2015

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

California Cancer Associates for Research and Excellence IncGroup PAC ID 8022918937, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fgilliam2714657@direct.trinity-health.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

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.

• California Cancer Associates for Research and Excellence Inc

  dba Ccare

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1083661607
  Medicare reassignment Care Compare group NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment Care Compare group
• Kaweah Delta Health Care District

  dba Kaweah Health Urgent Care

  • Urgent Care Clinic/Center
  • Visalia, CA
  • NPI 1790795458
  Medicare reassignment NPD
• South Valley Vascular Associates Inc.

  • Vascular Surgery Physician
  • Visalia, CA
  • NPI 1508166190
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Saint Agnes Medical Foundation

  dba Saint Agnes Care

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1558819482
  Medicare reassignment
• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  NPD
• California Cancer Associates for Research and Excellence Inc

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1902359425
  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Hanford, CA
  • NPI 1508938465
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Galen Inpatient Physicians Inc

  dba Vituity

  • Internal Medicine Physician
  • Hanford, CA
  • NPI 1114285657
  NPD
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686
  NPD

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

• Fresno Community Hospital and Medical Center

  dba Clovis Community Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1871963942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 120",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 120",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-625-4118",
            "fax_number": "559-625-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "FREDERICK",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52887",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "52887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Gill, DO
• Kirat Kaur Gill, NP
• Puneet K Gill, DO
• Sabina Gill, DDS
• Saina Gill, MD
• Jerry Charles Gilmore, MPSS-RCPSZA
• Lawrence W. Ginsberg, M.D.
• Grace Gipson
• Catherine Glasgow
• Jennifer Glassman

• Surgical Physician Assistant in Visalia, CA
• Providers in Visalia, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.