Kent Donald Riemer, PA
Individual provider Active NPI Physician Assistant · Kingsburg, CA
NPI 1891139788 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1891139788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 23157 (CA)
- Practice address
- 2400 Sierra St
Kingsburg, CA 93631-1458 - Phone
- (559) 897-2963
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Foundation Medical Group
Practice addresses (Care Compare)
2335 E Kashian LN
Fresno, CA 93701-2234
2400 Sierra St
Kingsburg, CA 93631-1458
Phone (559) 897-2963
Hospital & facility affiliations
- Kaweah Health Medical Center
- Clovis Community Medical Center
- Adventist Health Reedley
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131126001688 | CA | Practitioner - Physician Assistant | 1557597317 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current |
Accepting new patients | |
| Community Foundation Medical Group | Current |
Accepting new patients | |
| Cep America-California | Current |
Accepting new patients | |
| Pixley Medical Clinic | Past | Accepting new patients | |
| Tipton Medical Clinic | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2400 Sierra St
Kingsburg, CA 93631
Phone (209) 897-2963
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 23157 | CA | Yes |
Addresses
Primary practice location
2400 Sierra St
Kingsburg, CA 93631-1458
Mailing address
PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200
Other practice location 1
575 N Thompson Rd
Tipton, CA 93272-9756
Phone (559) 752-4147
Other providers in Kingsburg, CA
- Crystal Elena Ramos
- Reedley Community Hospital
- Lisa Goodner Reis
- Richard Reis
- Jessica Riemer
- Natalie Roberson
- Skylar Victoria Rodriquez
- Jason Mark Rountree
- Jessica M Ruiz Regalado
- Rustigan Chiropractic Inc
All providers in Kingsburg, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.