Active NPI
David Young-Su Ko, M.D.
- Neurology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G81872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G818720 | Medicaid | CA |
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, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 15
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
| License | State | Type | Specialty |
|---|---|---|---|
| G81872 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare California, P.C. | Neurology | Current | Accepting new patients |
| Access Telecare, PLLC | Neurology | Current | 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AL, DE, FL, MA, MI, MT, NC, Neurology, NM, NY, OH, OK, TN, VA
-
- Specialist
- Los Angeles, CA
- NPI 1386685568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.