Active NPI
Gian Justin G. Kho, PA-C
- Surgical Physician Assistant
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA61617680
- Practice address
- 4011 Talbot Rd S Ste 300
Renton, WA 98055-5791 - Phone
- (425) 656-5060
- Fax
- (425) 656-5047
- NPI assigned
- Sep 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA61617680 | WA | Primary |
Addresses
Primary practice location
4011 Talbot Rd S Ste 300
Renton, WA 98055-5791
Mailing address
4011 Talbot Rd S Ste 300
Renton, WA 98055-5791
Phone (425) 656-5060
Other practice location 1
1620 Lake Tapps Pkwy SE Ste 115
Auburn, WA 98092-8376
Phone (253) 246-2860
Other practice location 2
27005 168th Pl SE Ste 201
Covington, WA 98042-4902
Phone (253) 630-3660
Other practice location 3
24060 SE Kent Kangley Rd Ste D-100
Maple Valley, WA 98038-6851
Phone (425) 358-7708
Other practice location 4
3600 Lind Ave SW Ste 170
Renton, WA 98057-4934
Phone (425) 656-5060
Other practice location 5
150 Andover Park W
Tukwila, WA 98188-2801
Phone (425) 979-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27005 168TH PL SE
Suite 201
Covington, WA 98042-4902
Phone (253) 630-3660
4011 Talbot Rd S
Suite 300
Renton, WA 98055-5791
Phone (206) 656-5060
Hospital & facility affiliations
- Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61617680 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Physician Assistant | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Past | Accepting new patients |
Locations
1620 Lake Tapps Pkwy SE
Ste 115
Auburn, WA 98092
Phone (253) 246-2860
27005 168th Pl SE
#201
Covington, WA 98042
Phone (253) 630-3660
24060 SE Kent Kangley Rd
#D100
Maple Valley, WA 98038
Phone (425) 358-7708
3600 Lind Ave SW
Ste 170
Renton, WA 98057
Phone (425) 656-4260
4011 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (206) 656-5060
515 Minor Ave
Ste 200
Seattle, WA 98104
Phone (206) 386-9615
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
150 Andover Park W
Tukwila, WA 98188
Phone (425) 979-2663
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Covington, WA
- NPI 1932262904
Physician Assistant
-
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1336020064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S STE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980555791",
"telephone_number": "425-656-5060",
"fax_number": "425-656-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S STE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980555791",
"telephone_number": "425-656-5060",
"fax_number": "425-656-5047"
}
],
"practiceLocations": [
{
"address_1": "1620 Lake Tapps Pkwy SE Ste 115",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980928376",
"country_code": "US",
"telephone_number": "253-246-2860",
"fax_number": "253-246-2861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27005 168th Pl SE Ste 201",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "WA",
"postal_code": "980424902",
"country_code": "US",
"telephone_number": "253-630-3660",
"fax_number": "253-631-1591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24060 SE Kent Kangley Rd Ste D-100",
"address_purpose": "LOCATION",
"city": "Maple Valley",
"state": "WA",
"postal_code": "980386851",
"country_code": "US",
"telephone_number": "425-358-7708",
"fax_number": "425-656-5047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Lind Ave SW Ste 170",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980574934",
"country_code": "US",
"telephone_number": "425-656-5060",
"fax_number": "425-656-5047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Andover Park W",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981882801",
"country_code": "US",
"telephone_number": "425-979-2663",
"fax_number": "425-524-4447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHO",
"first_name": "GIAN JUSTIN",
"middle_name": "G.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-09",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61617680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.