Individual provider Active NPI

Jessica Kuo, MD

  • Pain Medicine (Anesthesiology) Physician
  • Covina, CA
National Provider Identifier
1205465085
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A187533 Issued in CA
Practice address
236 W College St
Covina, CA 91723-1902
Phone
(626) 608-7320
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A187533 CA Primary

Addresses

Primary practice location

236 W College St
Covina, CA 91723-1902

Mailing address

236 W College St
Covina, CA 91723-1902
Phone (626) 608-7320

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614004035 CA Practitioner - Anesthesiology 7214350693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Pain Management Clinic PCGroup PAC ID 5698828101, 9 clinicians

Practice addresses (Care Compare)

236 W College St
Covina, CA 91723-1902
Phone (626) 608-7320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Pain Management Clinic PC Pain Medicine CurrentSince Nov 1, 2025 Accepting new patients
Emanate Pain Management Medical Group PC PastSince Feb 11, 2024 Accepting new patients

Locations

236 W College St
Covina, CA 91723
Phone (626) 732-2200

1828 E Cesar E Chavez Ave
Ste 4500
Los Angeles, CA 90033
Phone (323) 352-3000

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

9120 Haven Ave
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 803-0647

767 S Sunset Ave
Ste 3
West Covina, CA 91790
Phone (626) 338-8409

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1205465085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231902",
            "telephone_number": "626-608-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231902",
            "telephone_number": "626-608-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A187533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.