BRIAN IM PA
NPI 1700186491
Physician Assistant in Rancho Cucamonga, CA
About Brian Im Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN IM PA (NPI 1700186491) is an individual physician assistant in Rancho Cucamonga, California, licensed in California (PA21262) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Brian Im Pa 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91737 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RANCHO CUCAMONGA, CA 91737
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 Brian Im's NPI number?
The NPI number for Brian Im is 1700186491. It was assigned to this individual provider in the NPPES registry on October 27, 2010.
Where is Brian Im located?
Brian Im practices at 6417 Haven Ave Ste 110, Rancho Cucamonga, CA 91737. The listed phone number is (909) 941-2273.
What is Brian Im's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Brian Im enrolled in Medicare?
Yes. Brian Im 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 Brian Im was last updated on March 6, 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.
# Brian Im, PA · NPI 1700186491
Physician Assistant physician in Rancho Cucamonga, California. Individual provider, active in the CMS NPPES registry since October 27, 2010.
## Identity
- **NPI:** 1700186491 (Entity type: Individual)
- **Enumerated:** October 27, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA21262 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6417 HAVEN AVE STE 110, Rancho Cucamonga, CA 91737-3804
- **Phone:** (909) 941-2273 · **Fax:** (909) 477-8830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700186491) · Data from the CMS NPPES public registry.