Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sophia Nechama Antoun, PA-C

Individual provider Physician Assistant · NPI 1205513645

Sophia Nechama Antoun, PA-C is a Physician Assistant in Fremont, California. Qualified in 2024, 2 years ago. Practices with Dearborn and Associates Institute for Joint Restoration, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2000 Mowry Ave
Fremont, CA 94538-1716
Phone: (510) 818-7200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 947 Boranda Ave Apt 1, Mountain View, CA 94040-2639 — (415) 420-3828

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65514 (CA)

Record details

NPI number1205513645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dearborn And Associates Institute For Joint Restoration — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fremont