MR. CLINTON AARON MITCHELL PA-C
NPI 1467531392
Physician Assistant - Surgical in Glendale, CA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
1505 WILSON TER, SUITE 200, GLENDALE, CA 91206(818) 246-8974(818) 246-7673 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Apr 1, 2020 (2 updates tracked since 2020).

About Mr. Clinton Aaron Mitchell Pa-c NPPES

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

MR. CLINTON AARON MITCHELL PA-C (NPI 1467531392) is an individual surgical provider in Glendale, California, licensed in California (PA 18069) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1467531392
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CLINTON AARON MITCHELLCredential: PA-C
Location Address1505 WILSON TER, SUITE 200Glendale, CA 91206-4071
Mailing AddressPhr Group Pe Unit 3rd Floor, 393 E Walnt StreetPasadena, CA 91188-0001 · (626) 405-7914 · Fax (877) 514-0903
Fax(818) 246-7673
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
NPI 1467531392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA 18069
1505 WILSON TER, Glendale, CA 91206

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. Clinton Aaron Mitchell 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 ID6406875715
PECOS Enrollment IDI20051116000360
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.

Other Providers at the Same Location NPPES 20

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

Pharmacy (Community/Retail Pharmacy)
1505 WILSON TER, STE 100
GLENDALE, CA 91206
Internal Medicine (Hematology & Oncology)
1505 WILSON TER, SUITE 340
GLENDALE, CA 91206
Otolaryngology
1505 WILSON TER, #270
GLENDALE, CA 91206
Internal Medicine (Nephrology)
1505 WILSON TER, SUITE #155
GLENDALE, CA 91206
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1505 WILSON TER, SUITE 200
GLENDALE, CA 91206
Internal Medicine
1505 WILSON TER, SUITE 320
GLENDALE, CA 91206
Family Medicine
1505 WILSON TER, SUITE 250
GLENDALE, CA 91206
Dietitian, Registered
1505 WILSON TER, # 155
GLENDALE, CA 91206

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 Clinton Mitchell's NPI number?

The NPI number for Clinton Mitchell is 1467531392. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Clinton Mitchell located?

Clinton Mitchell practices at 1505 Wilson Ter Suite 200, Glendale, CA 91206. The listed phone number is (818) 246-8974.

What is Clinton Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Clinton Mitchell enrolled in Medicare?

Yes. Clinton Mitchell 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 Clinton Mitchell was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.