Individual provider Active NPI

David Young-Su Ko, M.D.

  • Neurology Physician
  • Loma Linda, CA
National Provider Identifier
1932143963
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G81872 Issued in CA
Practice address
11201 Benton St # 2a-205
Loma Linda, CA 92357-5310
Phone
(909) 825-7084
Fax
(909) 777-3814
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2026-03338 NC
Neurology Physician 2084N0400X G81872 CA Primary

Addresses

Primary practice location

11201 Benton St # 2a-205
Loma Linda, CA 92357-5310

Mailing address

3240 Lombardy Rd
Pasadena, CA 91107-5533
Phone (323) 697-9802

Other identifiers 1

IdentifierTypeStateIssuer
00G818720MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT, NM, FL, VA, NY, MA, TX, OK, MI, DE, TN, OH, NC, AL15 enrollments
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 15

Enrollment IDStateProvider typePAC IDDetails
I20090520000142 CA Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260305002861 MT Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260306002039 NM Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260421002129 FL Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260428000451 VA Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260518000435 NY Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260519002998 MA Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260521000399 TX Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260615004185 OK Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260616002059 MI Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260616003963 DE Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260616004756 TN Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260619000353 OH Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260619001316 NC Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization
I20260622000170 AL Practitioner - Neurology 8527117605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
George Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 Main St
Suite 5850
Dallas, TX 75201-4681

1717 Main St
Suite 5850
Dallas, TX 75201-7317

3240 Lombardy Rd
Pasadena, CA 91107-5533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81872CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare California, P.C. Neurology CurrentSince Jul 5, 2025 Accepting new patients
Access Telecare, PLLC Neurology CurrentSince Feb 13, 2026 Accepting new patients
Usc Neurologists, Inc. Past Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1932143963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 LOMBARDY RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075533",
            "telephone_number": "323-697-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST # 2A-205",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923575310",
            "telephone_number": "909-825-7084",
            "fax_number": "909-777-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "DAVID",
        "middle_name": "YOUNG-SU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2026-03338",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G81872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G818720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.