HANNAH SUH KIM P.A.
NPI 1487962288
Physician Assistant - Medical in Fontana, CA
About Hannah Suh Kim P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANNAH SUH KIM P.A. (NPI 1487962288) is an individual medical provider in Fontana, California, licensed in California (PA21208) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hannah Suh Kim P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FONTANA, CA 92335
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 Hannah Kim's NPI number?
The NPI number for Hannah Kim is 1487962288. It was assigned to this individual provider in the NPPES registry on September 15, 2010. The provider is also known as Hannah Suh P.A..
Where is Hannah Kim located?
Hannah Kim practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5000.
What is Hannah Kim's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Hannah Kim enrolled in Medicare?
Yes. Hannah Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Hannah Kim was last updated on December 14, 2021. 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.
# Hannah Suh Kim, P.A. · NPI 1487962288
Medical physician in Fontana, California. Individual provider, active in the CMS NPPES registry since September 15, 2010.
## Identity
- **NPI:** 1487962288 (Entity type: Individual)
- **Enumerated:** September 15, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA21208 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9961 SIERRA AVE, Fontana, CA 92335-6720
- **Phone:** (909) 427-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487962288) · Data from the CMS NPPES public registry.