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MRS. KYUNGSOO KORINN GO PA-C
NPI 1720514466
Physician Assistant in Montclair, CA

Active since May 01, 2017PECOS Enrolled
8891 CENTRAL AVE, MONTCLAIR, CA 91763(909) 297-3361 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 7, 2017 (2 updates tracked since 2017).

About Mrs. Kyungsoo Korinn Go Pa-c NPPES

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

MRS. KYUNGSOO KORINN GO PA-C (NPI 1720514466) is an individual physician assistant in Montclair, California and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1720514466
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KYUNGSOO KORINN GOCredential: PA-C
Location Address8891 CENTRAL AVEMontclair, CA 91763-1618
Mailing Address8891 Central AveMontclair, CA 91763-1618 · (909) 297-3361
Phone(909) 297-3361
Sole ProprietorNo
Enumeration DateMay 1, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1720514466 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.
8891 CENTRAL AVE, Montclair, CA 91763
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Other Names 1

Former Name (1)Miss Kyungsoo Lee

Secondary Practice Location 1

Location 11010 W La Veta Ave Ste 755Orange, CA 92868-4306 · Phone (714) 543-8911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kyungsoo Korinn Go Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91763 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

CENTRAL URGENT MEDICAL CARE
Clinic/Center (Urgent Care)
8891 CENTRAL AVE
MONTCLAIR, CA 91763
San Bernardino County (909) 297-3361
DAREEN M NASSMAN PA-C
Physician Assistant
8891 CENTRAL AVE, SUITE A
MONTCLAIR, CA 91763
San Bernardino County (909) 297-3361
MRS. MICHELLE ANNE MATYSECK PA
Physician Assistant
8891 CENTRAL AVE
MONTCLAIR, CA 91763
San Bernardino County (909) 297-3361
SOCAL MRI CENTERS
Clinic/Center (Magnetic Resonance Imaging (MRI))
8891 CENTRAL AVE, SUITE C
MONTCLAIR, CA 91763
San Bernardino County (909) 624-8910
CENTRAL URGENT MEDICAL CARE
Clinic/Center (Urgent Care)
8891 CENTRAL AVE, SUITE A
MONTCLAIR, CA 91763
San Bernardino County (909) 297-3361
MRS. GALE ESTELLE LAIDLAW FNP-C
Nurse Practitioner (Family)
8891 CENTRAL AVE
MONTCLAIR, CA 91763
San Bernardino County (909) 256-6986
AKASH B GUPTA M.D.
Emergency Medicine
8891 CENTRAL AVE
MONTCLAIR, CA 91763
San Bernardino County (909) 625-4848
DANIELLE BARRETT PA-C
Physician Assistant
8891 CENTRAL AVE, SUITE A
MONTCLAIR, CA 91763
San Bernardino County (909) 297-3361

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 Kyungsoo Go's NPI number?

The NPI number for Kyungsoo Go is 1720514466. It was assigned to this individual provider in the NPPES registry on May 1, 2017. The provider is also known as Miss Kyungsoo Lee.

Where is Kyungsoo Go located?

Kyungsoo Go practices at 8891 Central Ave, Montclair, CA 91763. The listed phone number is (909) 297-3361.

What is Kyungsoo Go's specialty?

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

Is Kyungsoo Go enrolled in Medicare?

Yes. Kyungsoo Go is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyungsoo Go was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.