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

Mitchell Belisle, PA-C

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1972369965

Mitchell Belisle, PA-C is a Physician Assistant in Clovis, California. Qualified in 2023, 3 years ago. Practices with Community Foundation Medical Group, a 284-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

729 N Medical Center Dr W Ste 101
Clovis, CA 93611-6880
Phone: (559) 439-7633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence PA64048 (CA)

Record details

NPI number1972369965
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 26, 2024
Mailing address382 N McKelvy Ave Apt 232, Clovis, CA 93611-2411

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Foundation Medical Group — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare