KEVIN FRYER – Physician Assistant, NPI 1295467447

KEVIN FRYER is a healthcare provider. based in Pomona, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 61581 (CA). The NPI Number for KEVIN FRYER is 1295467447

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN FRYER
NPI
1295467447
Phone
(909) 623-6116
Address
309 E 2ND ST
Enumeration Date
27 June 2022
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2093346583
Graduation Year
2022 (4 years ago)
PAC ID
5193197671
Group Practice PAC ID
0547243586
Professional Enrollment ID
I20230209001101
Address ID
CA928793331CO341XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for KEVIN FRYER

  • 309 E 2ND ST

    POMONA, CA 917661854

    Phone: (909) 623-6116

    Type: Location

  • 15101 FAIRFIELD RANCH RD UNIT 14303

    CHINO HILLS, CA 917098891

    Phone: (480) 628-2692

    Type: Mailing

  • 341 MAGNOLIA AVE STE 101

    CORONA, CA 928793331

    Phone: (951) 735-6060

    Fax: (951) 735-4510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230209001101IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg36670$0
99213Established patient office or other outpatient visit, 20-29 minutes10884$0
20610Aspiration and/or injection of fluid from large joint8261$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
73562X-ray of knee, 3 views2623$0
View full utilization report →

Insurance plans in this area (ZIP 91766)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547243586View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Orthopedic SurgeryMA
Orthopedic SurgeryCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physician AssistantCA
-CA
Physician AssistantCA
Physician AssistantCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is KEVIN FRYER's NPI number?
KEVIN FRYER's NPI is 1295467447 — the number used across U.S. healthcare to identify this provider.
Is KEVIN FRYER shown as active in public data?
Registry records indicate KEVIN FRYER maintains an active NPI.
How would a patient describe KEVIN FRYER's focus?
For KEVIN FRYER, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN FRYER?
Directory geography for KEVIN FRYER centers on Pomona, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Second Street, Walnut Hills Mobile Home Park, Pomona, Los Angeles County, California, 91765, United States
NPI: 1447232640

MRS. TRANG HUONG SPARKS (PA)

Physician Assistant
1601, Monte Vista Avenue, Claremont, Los Angeles County, California, 91711, United States
NPI: 1780668178

MS. SHINA PATEL (P.A.)

Physician Assistant
350 Vinton Ave
NPI: 1649228925

MR. RAYMOND LOPEZ (PA)

Physician Assistant
25455 BARTON RD STE 204B
NPI: 1851340681

GAREY ORTHOPEDIC MEDICAL GROUP

Orthopaedic Surgery Physician
255 E Bonita Ave Ste 101
NPI: 1346299211

FRANK PASTOR (PA)

Physician Assistant
2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States
NPI: 1871530931

JAISON C FRAIZER (PA-C)

Physician Assistant
2776, North Garey Avenue, North Pomona, Pomona, Los Angeles County, California, 91767, United States
NPI: 1073551263

ERIK LELAND SMITH (P.A-C)

Physician Assistant
1798 N GAREY AVE
NPI: 1346284015