Individual provider Active NPI

Kathleen Bianco, PA-C

  • Physician Assistant
  • Claremont, CA
National Provider Identifier
1851583553
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17139 Issued in CA
Practice address
1601 Monte Vista Ave Ste 260
Claremont, CA 91711-6604
Phone
(909) 865-9501
Fax
(909) 469-2146
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17139 CA Primary

Addresses

Primary practice location

1601 Monte Vista Ave Ste 260
Claremont, CA 91711-6604

Mailing address

1601 Monte Vista Ave Ste 260
Claremont, CA 91711-6604
Phone (909) 865-9501

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001302 CA Practitioner - Physician Assistant 3870562432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Premier Family Medicine Associates, Inc 65 clinicians

Practice addresses (Care Compare)

2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6802
Phone (909) 630-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17139CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1851583553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116604",
            "telephone_number": "909-865-9501",
            "fax_number": "909-469-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116604",
            "telephone_number": "909-865-9501",
            "fax_number": "909-469-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.