Tom Ku, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12649 Issued in CA

Practice address

2250 S Main St
Ste. 106
Corona, CA 92882-2534

Phone

(951) 371-2703

Fax

(951) 735-3296

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: tom.ku.p1@direct.cvma.nextgenshare.com

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.

• Citrus Valley Medical Associates, Inc.

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  Medicare reassignment

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1609955285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5089",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608003",
            "telephone_number": "951-371-2703",
            "fax_number": "951-735-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "STE. 106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822534",
            "telephone_number": "951-371-2703",
            "fax_number": "951-735-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "TOM",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle D Krimbow, BEHAVIOR THERAPIST
• Saranath Krishnamurthy, DDS
• Nicole Elizabeth Kropp
• Cynthia Kruk, LMFT
• Shelby Kruse
• Kinsley Lynn Kuhn, MS
• Taegan-Ginny Kuikahi
• Ashni Kumar
• Ryan Kung
• Samantha Kunze

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.