JONATHAN KOE
NPI 1053177147
Physician Assistant - Surgical in Alhambra, CA

Active since February 26, 2024PECOS EnrolledAccepts Medicare Assignment
707 S GARFIELD AVE FL 2, ALHAMBRA, CA 91801(626) 282-1600 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Koe NPPES

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

JONATHAN KOE (NPI 1053177147) is an individual surgical provider in Alhambra, California, licensed in California (PA64307) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053177147
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJONATHAN KOE
Location Address707 S GARFIELD AVE FL 2Alhambra, CA 91801-5859
Mailing Address707 S Garfield Ave Fl 2Alhambra, CA 91801-5859
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2024
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1053177147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA64307
707 S GARFIELD AVE FL 2, Alhambra, CA 91801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Koe is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618409665
PECOS Enrollment IDI20241015002007
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Physician Assistant
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801
Orthopaedic Surgery (Foot and Ankle Surgery)
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801
Orthopaedic Surgery
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801
Physician Assistant (Surgical)
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801
Orthopaedic Surgery (Sports Medicine)
707 S GARFIELD AVE FL 2
ALHAMBRA, CA 91801

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 Jonathan Koe's NPI number?

The NPI number for Jonathan Koe is 1053177147. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Jonathan Koe located?

Jonathan Koe practices at 707 S Garfield Ave Fl 2, Alhambra, CA 91801. The listed phone number is (626) 282-1600.

What is Jonathan Koe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jonathan Koe enrolled in Medicare?

Yes. Jonathan Koe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Koe was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.