Individual provider Active NPI

Mitchell David Claire, P.A.

  • Physician Assistant
  • Coachella, CA
National Provider Identifier
1881611317
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12917 Issued in CA
Practice address
49869 Calhoun St
Coachella, CA 92236-9720
Phone
(760) 329-8932
NPI assigned
Jul 17, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 PA12917 CA Primary

Addresses

Primary practice location

49869 Calhoun St
Coachella, CA 92236-9720

Mailing address

49869 Calhoun St
Coachella, CA 92236-9720
Phone (760) 398-9090

Other identifiers 1

IdentifierTypeStateIssuer
PA12917OtherCALICENSE

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
I20040324000776 CA Practitioner - Physician Assistant 8628969987 Reassigns benefits to 1 organization
Practice locations: Indio, CA; El Centro, CA

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1073 Ross Ave
Suite D
El Centro, CA 92243-4371
Phone (760) 636-2091

81709 Doctor Carreon Blvd
Suite D1
Indio, CA 92201-5578
Phone (760) 636-2091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12917CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R-C Urgent Care Family Practice Inc PastSince Sep 14, 2009 Accepting new patients
Arthur R Davis Jr MD a Medical Corporation Past Accepting new patients
Clinica Medica del Valle, Inc. Past Accepting new patients
Nueva Clinica California Medical Group Inc Past Accepting new patients
Holding Hands Family Psychiatry and Wellness Nursing Inc Past Accepting new patients

Organizations & group practices 6

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.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1881611317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49869 CALHOUN ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922369720",
            "telephone_number": "760-398-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49869 CALHOUN ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922369720",
            "telephone_number": "760-329-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIRE",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA12917",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

Verify at the official NPI Registry.