Gulbag Singh Kahlon, PHYSICIAN ASSOCIATE

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA66506 Issued in CA

Practice address

5890 Ventana Dr
Fontana, CA 92336-5616

Phone

(909) 275-1744

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Future Health Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1538809033
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1033006713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 VENTANA DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365616",
            "telephone_number": "909-275-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 VENTANA DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365616",
            "telephone_number": "909-275-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "GULBAG",
        "middle_name": "SINGH",
        "credential": "PHYSICIAN ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Y Jung-Wu, MD
• Charlene H. Jung, MD
• James S Jung, MD
• K & K Medical Supply Inc
• Randolph Kado, PH.D.
• Kaiser Fontana
• Kaiser Fontana Medical Center
• Kaiser Foundation Health Plan Inc (Kaiser Oncology Phmcy #170)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc (Kaiser Home Health Pharmacy)

• Physician Assistant in Fontana, CA
• Providers in Fontana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.