Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Koch, PA-C

Individual provider Physician Assistant · NPI 1396611539

Kyle Koch, PA-C is a Physician Assistant in Redlands, California. Qualified in 2025, 1 year ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

350 Terracina Blvd
Redlands, CA 92373-4897
Phone: (949) 636-6138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67268 (CA)

Record details

NPI number1396611539
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address26081 Los Cerros Dr, Laguna Hills, CA 92653-8204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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