CHAD GAGNON PA-C
NPI 1568460665
Physician Assistant - Medical in Smith River, CA

Active since July 12, 2005
501 N INDIAN RD, SMITH RIVER, CA 95567(707) 487-0215(707) 487-1304 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chad Gagnon Pa-c NPPES

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

CHAD GAGNON PA-C (NPI 1568460665) is an individual medical provider in Smith River, California, licensed in California (PA10396) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1568460665
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHAD GAGNONCredential: PA-C
Location Address501 N INDIAN RDSmith River, CA 95567-9509
Mailing Address501 N Indian RdSmith River, CA 95567-9509 · (707) 487-0215 · Fax (707) 487-1304
Fax(707) 487-1304
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 16, 2007
NPI 1568460665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA10396
501 N INDIAN RD, Smith River, CA 95567

Other Identifiers 2

Medicare UPINP54160CA
Medicare ID-Type Unspecified0PA103960CA

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
501 N INDIAN RD
SMITH RIVER, CA 95567
Dentist
501 N INDIAN RD
SMITH RIVER, CA 95567
Dentist
501 N INDIAN RD
SMITH RIVER, CA 95567
Dentist (General Practice)
501 N INDIAN RD
SMITH RIVER, CA 95567
Physician Assistant
501 N INDIAN RD
SMITH RIVER, CA 95567
Psychologist (Counseling)
501 N INDIAN RD
SMITH RIVER, CA 95567
Clinic/Center (Community Health)
501 N INDIAN RD
SMITH RIVER, CA 95567

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 Chad Gagnon's NPI number?

The NPI number for Chad Gagnon is 1568460665. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Chad Gagnon located?

Chad Gagnon practices at 501 N Indian Rd, Smith River, CA 95567. The listed phone number is (707) 487-0215.

What is Chad Gagnon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Chad Gagnon was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.