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

Individual provider Physician Assistant · NPI 1871963942

Mr. Frederick Dwayne Gilliam, PA-C is a Physician Assistant in Visalia, California. Qualified in 2015, 11 years ago. Practices with Galen Inpatient Physicians PC, a 1,031-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
2
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

820 S Akers St Ste 120
Visalia, CA 93277-8306
Phone: (559) 625-4118
Fax: (559) 625-6004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 52887 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 52887 (CA)

Record details

NPI number1871963942
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Galen Inpatient Physicians Pc — 1031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Visalia