Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bartholomew Gilliam, PA-C

Individual provider Physician Assistant · NPI 1285776153

Bartholomew Gilliam, PA-C is a Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12012 S Wilmington Ave
Los Angeles, CA 90059
Phone: (310) 668-4515
Fax: (310) 763-8909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA13669 (CA)

Record details

NPI number1285776153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJuly 8, 2007

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