KATHLEEN BIANCO (PA-C) – Physician Assistant, NPI 1851583553

KATHLEEN BIANCO (PA-C) is a healthcare provider. based in Palmdale, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17139 (CA). The NPI Number for KATHLEEN BIANCO (PA-C) is 1851583553

Main info

Female
23 Years Of Experience
Name
KATHLEEN BIANCO (PA-C)
NPI
1851583553
Phone
(661) 947-7100
Address
41210 11TH ST W
Enumeration Date
16 August 2007
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9096307875
Graduation Year
2003 (23 years ago)
PAC ID
3870562432
Group Practice PAC ID
4284547522
Professional Enrollment ID
I20040929001302
Address ID
CA917096802CH2140XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for KATHLEEN BIANCO (PA-C)

  • 41210, 11th Street West, Palmdale, Los Angeles County, California, 93551, United States

    PALMDALE, CA 935511447

    Phone: (661) 947-7100

    Fax: (661) 947-2211

    Type: Mailing

  • 2140 GRAND AVE STE 125

    CHINO HILLS, CA 917096802

    Phone: (909) 630-7875

    Fax: (909) 469-2107

    Type: Location

  • 1601 MONTE VISTA AVE STE 260

    CLAREMONT, CA 917116604

    Phone: (909) 865-9501

    Fax: (909) 469-2146

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2004-09-29

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
I20040929001302IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93551)

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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: 4284547522View full group profile
NameSpecialtyState
Family PracticeCA
Family Practice, Geriatric MedicineCA
-CA
Family PracticeCA
Family Practice, Hospice/Palliative CareUT
Family Practice, Sports MedicineCA
-CA
Family Practice, Geriatric MedicineCA
Family PracticeCA
Family PracticeCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHLEEN BIANCO (PA-C)?
KATHLEEN BIANCO (PA-C) — NPI 1851583553 — is the standard way to identify this listing.
Is KATHLEEN BIANCO (PA-C) listed as active for patients and plans?
The listing shows KATHLEEN BIANCO (PA-C) as active in the NPI system.
What taxonomy line describes KATHLEEN BIANCO (PA-C)?
For research purposes, treat KATHLEEN BIANCO (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does KATHLEEN BIANCO (PA-C) list a practice location?
Patients near Palmdale, California may find KATHLEEN BIANCO (PA-C) in results; validate coverage separately.
Is the information about KATHLEEN BIANCO (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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