Brian Im, PA - Medicare Physician Assistant in Rancho Cucamonga, CA

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Brian Im, PA is a medicare enrolled "Physician Assistant" in Rancho Cucamonga, California. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 6417 Haven Ave Ste 110, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at (909) 941-2273.

Brian Im is licensed to practice in California (license number PA21262) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700186491.

Contact Information

Brian Im, PA
6417 Haven Ave Ste 110,
Rancho Cucamonga, CA 91737-3804
(909) 941-2273
(909) 477-8830

Map and Direction




Provider's Profile

Full NameBrian Im
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location6417 Haven Ave Ste 110, Rancho Cucamonga, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian Im graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1700186491
  • Provider Enumeration Date: 10/27/2010
  • Last Update Date: 03/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9537342894
  • Enrollment ID: I20110323000660

Medical Identifiers

Medical identifiers for Brian Im such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700186491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA21262 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group600272917511250

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Im allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameIntercommunity Emergency Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871535286
PECOS PAC ID: 7911892534
Enrollment ID: O20040708000780
Entity NameAndy Shen MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457427221
PECOS PAC ID: 8527164482
Enrollment ID: O20070509000575
Entity NameParker Valley Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467755249
PECOS PAC ID: 9436339108
Enrollment ID: O20110212000050
Entity NameVictory Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932402716
PECOS PAC ID: 9133301732
Enrollment ID: O20110302000980
Entity NameGlendale Adventist Emergency Physicians Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679907869
PECOS PAC ID: 1254563869
Enrollment ID: O20140415000064
Entity NameHaven Elite Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619473154
PECOS PAC ID: 3072858554
Enrollment ID: O20190103001046
Entity NameEmergency Physicians of San Gabriel Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366021834
PECOS PAC ID: 4082023726
Enrollment ID: O20210507002497

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Im is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Im, PA
6417 Haven Ave Ste 110,
Rancho Cucamonga, CA 91737-3804

Ph: (909) 941-2273		Brian Im, PA
6417 Haven Ave Ste 110,
Rancho Cucamonga, CA 91737-3804

Ph: (909) 941-2273

Reviews and Comments


Physician Assistant Nurses in Rancho Cucamonga, CA

Bryant Alex Lim, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 10565 Civic Center Dr, Rancho Cucamonga, CA 91730
Phone: 909-755-5533    
Mrs. Antonia Lynn Rogers, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7777 Milliken Ave Ste 110, Rancho Cucamonga, CA 91730
Phone: 909-948-7590    Fax: 909-948-7290
Mrs. Sarah Lynn Searles, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8680 Monroe Ct Ste 200, Rancho Cucamonga, CA 91730
Phone: 909-987-0899    
Haily Nicole Helton, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 10837 Laurel St Ste 204, Rancho Cucamonga, CA 91730
Phone: 909-294-5358    
Claire Rahoi,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701
Phone: 909-727-3911    
Kattya Isabel Low,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9377 Haven Ave Ste 100, Rancho Cucamonga, CA 91730
Phone: 909-906-1505    
Mr. Song Siameng Jann, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5131 Nellie Ct, Rancho Cucamonga, CA 91739
Phone: 213-841-4181    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.