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MR. KEVIN TIYAAMORNWONG PA-C
NPI 1275672503
Physician Assistant in Madera, CA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
505 E ALMOND AVE STE 101, MADERA, CA 93637(559) 664-4000(559) 675-5224 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 6, 2025, Mar 7, 2023 (2 updates tracked since 2023).

About Mr. Kevin Tiyaamornwong Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN TIYAAMORNWONG PA-C (NPI 1275672503) is an individual physician assistant in Madera, California, licensed in California (PA 17984) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1275672503
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN TIYAAMORNWONGCredential: PA-C
Location Address505 E ALMOND AVE STE 101Madera, CA 93637-5745
Mailing Address344 E 6th StMadera, CA 93638-3631 · (559) 664-4000 · Fax (559) 675-5224
Phone(559) 664-4000
Fax(559) 675-5224
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1275672503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA 17984
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
505 E ALMOND AVE STE 101, Madera, CA 93637
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Other Identifiers 1

OtherPA 14398CA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Tiyaamornwong Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224043112
PECOS Enrollment IDI20060214000509
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers45 claims74 services$5.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims19 services$0.90 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$34.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COH SERVICES INCORPORATED
Preventive Medicine (Occupational Medicine)
505 E ALMOND AVE STE 101
MADERA, CA 93637
Madera County (559) 664-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Tiyaamornwong's NPI number?

The NPI number for Kevin Tiyaamornwong is 1275672503. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Kevin Tiyaamornwong located?

Kevin Tiyaamornwong practices at 505 E Almond Ave Ste 101, Madera, CA 93637. The listed phone number is (559) 664-4000.

What is Kevin Tiyaamornwong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Tiyaamornwong enrolled in Medicare?

Yes. Kevin Tiyaamornwong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Tiyaamornwong was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.