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

Individual provider Medical Physician Assistant · NPI 1225098494

Mr. Kenneth R Gillen, PA-C is a Physician Assistant in Chico, California. Qualified in 2000, 26 years ago. Practices with Paradise Medical Group Inc, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

277 Cohasset Rd
Chico, CA 95926-2242
Phone: (530) 872-6650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7068 Skyway, Paradise, CA 95969-3940 — (530) 877-1155

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15850 (CA)

Record details

NPI number1225098494
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJanuary 2, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Paradise Medical Group Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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