BRAD KOCH
NPI 1366683062
Marriage & Family Therapist in Cupertino, CA
About Brad Koch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAD KOCH (NPI 1366683062) is an individual marriage & family therapist in Cupertino, California, licensed in California (MFC 46694) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brad Koch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brad Koch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUPERTINO, CA 95014
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 Brad Koch's NPI number?
The NPI number for Brad Koch is 1366683062. It was assigned to this individual provider in the NPPES registry on March 10, 2009.
Where is Brad Koch located?
Brad Koch practices at 19000 Homestead Rd Bldg 1, Cupertino, CA 95014. The listed phone number is (408) 366-4210.
What is Brad Koch's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Brad Koch enrolled in Medicare?
Yes. Brad Koch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brad Koch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brad Koch reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brad Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brad Koch was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Brad Koch · NPI 1366683062
Marriage & Family Therapist provider in Cupertino, California. Individual provider, active in the CMS NPPES registry since March 10, 2009.
## Identity
- **NPI:** 1366683062 (Entity type: Individual)
- **Enumerated:** March 10, 2009
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC 46694 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 19000 HOMESTEAD RD BLDG 1, Cupertino, CA 95014-0712
- **Phone:** (408) 366-4210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366683062) · Data from the CMS NPPES public registry.