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SOPHIA NECHAMA ANTOUN PA-C
NPI 1205513645
Physician Assistant in Fremont, CA

Active since June 28, 2023PECOS EnrolledAccepts Medicare Assignment
2000 MOWRY AVE, FREMONT, CA 94538(510) 818-7200 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Nechama Antoun Pa-c NPPES

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

SOPHIA NECHAMA ANTOUN PA-C (NPI 1205513645) is an individual physician assistant in Fremont, California, licensed in California (PA65514) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mountain View, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205513645
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIA NECHAMA ANTOUNCredential: PA-C
Location Address2000 MOWRY AVEFremont, CA 94538-1716
Mailing Address1706 El Camino Real Ste 101Menlo Park, CA 94027-4110 · (415) 420-3828
Phone(510) 818-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 28, 2023
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1205513645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65514
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2000 MOWRY AVE, Fremont, CA 94538
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Secondary Practice Location 1

Location 1947 Boranda Ave Apt 1Mountain View, CA 94040-2639 · Phone (415) 420-3828

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

Sophia Nechama Antoun Pa-c 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 ID9133659717
PECOS Enrollment IDI20250212000790
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TESFOM BERHE CCP
Perfusionist
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 797-1111
MRS. SHERRIE DENISE KNEEBONE N.P.
Nurse Practitioner (Family)
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 795-2004
DR. ALEXANDER P SAH MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2000 MOWRY AVE, CENTER FOR JOINT REPLACEMENT BLDG
FREMONT, CA 94538
Alameda County (510) 818-7200
JESSICA YOUNG NP
Nurse Practitioner (Family)
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 797-1111
PAUL VINCENT AGUILERA MD
Internal Medicine
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 797-1111
DR. ANKUR AJAY DOSHI MD
Radiology (Vascular & Interventional Radiology)
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 818-7362
MEDIHA SIDDIQUI JALEEL MD
Internal Medicine
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 797-1111
DR. LYN MARISE DOS SANTOS MD
Pediatrics
2000 MOWRY AVE
FREMONT, CA 94538
Alameda County (510) 795-2002

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 Sophia Antoun's NPI number?

The NPI number for Sophia Antoun is 1205513645. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Sophia Antoun located?

Sophia Antoun practices at 2000 Mowry Ave, Fremont, CA 94538. The listed phone number is (510) 818-7200.

What is Sophia Antoun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sophia Antoun enrolled in Medicare?

Yes. Sophia Antoun 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 Sophia Antoun was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.