NATHAN SUNGMIN KOH PA-C
NPI 1346113651
Physician Assistant in Fontana, CA

Active since September 24, 2025
17051 SIERRA LAKES PKWY STE 102, FONTANA, CA 92336(909) 428-1800 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nathan Sungmin Koh Pa-c NPPES

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

NATHAN SUNGMIN KOH PA-C (NPI 1346113651) is an individual physician assistant in Fontana, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1346113651
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHAN SUNGMIN KOHCredential: PA-C
Location Address17051 SIERRA LAKES PKWY STE 102Fontana, CA 92336-1274
Mailing Address2964 Quail StDavis, CA 95616-5711 · (714) 244-7906
Sole ProprietorNo
Enumeration DateSeptember 24, 2025
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1346113651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

17051 SIERRA LAKES PKWY STE 102, Fontana, CA 92336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346113651, enumerated as an "individual" on September 24, 2025.

The provider is located at 17051 SIERRA LAKES PKWY STE 102 FONTANA, CA 92336 and the phone number is (909) 428-1800.

Physician Assistant with taxonomy code 363A00000X.