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Active NPI 1548709983 Individual Practitioner Male Practitioner

Jon Ukishima , PA-C

Physician Assistant • Fullerton, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jon Ukishima, PA-C is a certified Physician Assistant practicing in Fullerton, CA. With approximately 10 years of clinical experience since completing medical education in 2016, Jon Ukishima delivers high-quality medical care to the local community at 101 E VALENCIA MESA DR.

Jon Ukishima is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

101 E Valencia Mesa Dr

Fullerton, CA 928353809

Telephone 7149923000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fullerton, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +0.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
139 Specialists

Practicing in Fullerton, CA (14617 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ukishima (10 Years) 10 Yrs
Fullerton Specialty Average (9.5 Years) 9.5 Yrs

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 54228

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

3430 E La Palma Ave, Anaheim, CA 928062020

Phone: 8889882800

Southern California Permanente Medical Group

5475 E La Palma Ave, Anaheim, CA 928072075

Phone: 7142796088

Southern California Permanente Medical Group

3460 E La Palma Ave, Anaheim, CA 928062020

Phone: 7146442010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Daniel Graviloni , RCP

Respiratory Therapist, Registered - Neonatal/Pediatrics

NPI 1073072963
Alicia Perez Varela , AGPCNP

Nurse Practitioner - Gerontology

NPI 1104788553
Janet Kong , NP

Nurse Practitioner

NPI 1114309192

Nurse Practitioner

Dr. Alex Ly , MD

Internal Medicine

NPI 1134380173

Doctor of Medicine (M.D.)

Justin De Leon

Registered Nurse

NPI 1194217182
Dr. Tuan Trinh , MD

Internal Medicine

NPI 1205924040

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2017

Registered at 101 E VALENCIA MESA DR, FULLERTON, CA 928353809 (Tel: 7149923000)

📍
Updated Business Mailing Address February 17, 2017

Registered at 12465 HAZELTINE DR, TUSTIN, CA 927821139 (Tel: 4028508380)

👤
Provider Name / Credentials Updated February 17, 2017

Recorded as JON UKISHIMA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2017

Physician Assistant (License #54228 in CA)

🟢
Initial NPI Registration & Enumeration February 17, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548709983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2017
Last Update: January 06, 2022
Sole Proprietor: No

Mailing Address

12465 Hazeltine Dr

Tustin, CA 927821139

Phone: 4028508380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.