Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN TIYAAMORNWONG, PA-C
ActiveMR. KEVIN TIYAAMORNWONG, PA-C is a Physician Assistant healthcare provider located in MADERA, California. NPI 1275672503 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MADERA, CA
Registration Details
- NPI Number
- 1275672503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2007 (19.518720059356 yrs)
- Last Updated
- Aug 6, 2025
- License
-
PA 17984 (CA)
Practice Information
- Address
-
505 E ALMOND AVE STE 101MADERA, CA, 936375745Browse CA providers · Browse ZIP 93637
- Phone
- 5596644000
- Fax
- 5596755224
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MADERA, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN GRACE PAOLINELLI | NP AND PA | 1922097393 |
| DUANE ARNOLD PITTS | PA-C | 1841271913 |
| MR. STEPHEN M MANIGO-HEDT | PA-C | 1093792756 |
| MS. MARTHA DURAN | PA-C | 1528045838 |
| MR. ROBERT HARRIS | PA-C | 1841278553 |
| MICHELLE MONETTE LADWIG | PA | 1649210048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.