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

Suk Moon Ko, MD

Individual provider Family Medicine Physician · NPI 1932631736

Suk Moon Ko, MD is a Family Practice in San Jose, California. Graduated from Stanford University School of Medicine in 2017, 9 years ago. Practices with Indian Health Center of Santa Clara Valley, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

455 Oconnor Dr Ste 210
San Jose, CA 95128-1632
Phone: (408) 995-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A171668 (CA)

Record details

NPI number1932631736
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Indian Health Center Of Santa Clara Valley — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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