CHAD GAGNON PA-C NPI 1568460665

NPI Information

  • NPI: 1568460665
  • Provider Name: CHAD GAGNON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 501 N INDIAN RD
    SMITH RIVER, CA
    ZIP 95567
  • Phone: (707) 487-0215

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NPI Details

Chad Gagnon, PA-C is a medical physician assistant in Smith River, CA. Chad Gagnon, PA-C NPI is 1568460665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N INDIAN RD
SMITH RIVER, CA
ZIP 95567-509
Phone: (707) 487-0215
Fax: (707) 487-1304

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA10396CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P54160MEDICARE UPINCALIFORNIA
20PA103960MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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