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

Individual provider Physician Assistant · NPI 1275672503

Mr. Kevin Tiyaamornwong, PA-C is a Physician Assistant in Madera, California. Qualified in 2005, 21 years ago. Practices with Camarena Health, a 82-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
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

505 E Almond Ave Ste 101
Madera, CA 93637-5745
Phone: (559) 664-4000
Fax: (559) 675-5224
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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 PA 17984 (CA)

Record details

NPI number1275672503
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Camarena Health — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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