Active NPI 1700186491 Individual Practitioner Male Practitioner

Brian Im , PA

Physician Assistant • Rancho Cucamonga, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Im, PA is a certified Physician Assistant practicing in Rancho Cucamonga, CA. With approximately 12 years of clinical experience since completing medical education in 2014, Brian Im delivers high-quality medical care to the local community at 6417 HAVEN AVE STE 110.

Brian Im is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6417 Haven Ave Ste 110

Rancho Cucamonga, CA 917373804

Telephone 9099412273

Fax 9094778830

Associated Practice Facility / Clinic

🏢 Haven Elite Urgent Care Facility NPI 1619473154

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rancho Cucamonga, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +3.9 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

59 Specialists

Practicing in Rancho Cucamonga, CA (14617 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Im (12 Years) 12 Yrs

Rancho Cucamonga Specialty Average (8.1 Years) 8.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	71	71	$1226.56	$152.51
99284 Emergency department visit with moderate level of medical decision making	41	41	$825.98	$105.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$58.32	$7.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	93	92	$1219.45	$154.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	48	46	$58.04	$7.31
99284 Emergency department visit with moderate level of medical decision making	47	46	$824.09	$106.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	74	73	$1147.68	$157.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	49	48	$57.47	$7.50
99284 Emergency department visit with moderate level of medical decision making	21	21	$774.33	$109.02
99291 Critical care, first 30-74 minutes	15	15	$1443.80	$195.81
99283 Emergency department visit with low level of medical decision making	14	14	$431.50	$64.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	62	59	$1061.13	$162.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	34	$54.26	$7.71
99283 Emergency department visit with low level of medical decision making	14	14	$381.36	$65.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	44	44	$1008.27	$157.99
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	23	$51.00	$7.92
99284 Emergency department visit with moderate level of medical decision making	14	14	$684.00	$108.61
99283 Emergency department visit with low level of medical decision making	11	11	$362.00	$59.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	73	73	$940.90	$155.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$48.31	$7.78
99283 Emergency department visit with low level of medical decision making	26	25	$338.00	$55.71
99284 Emergency department visit with moderate level of medical decision making	20	18	$645.75	$105.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	57	55	$744.84	$167.95
99284 Emergency department visit with moderate level of medical decision making	30	30	$499.93	$114.29
99283 Emergency department visit with low level of medical decision making	26	25	$296.65	$60.29
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	21	$36.00	$8.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	46	46	$674.28	$154.14
99284 Emergency department visit with moderate level of medical decision making	28	27	$449.82	$104.63
99283 Emergency department visit with low level of medical decision making	21	20	$270.57	$55.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	18	$36.00	$7.71

Medical Specialties & State Licenses

CMS Verified: 2026-03-06

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA21262

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

9961 Sierra Ave, Fontana, CA 923356720

Phone: 9094275000

Southern California Permanente Medical Group

2295 S Vineyard Ave, Ontario, CA 917617925

Phone: 9097245000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Yi Zhang , MD

Emergency Medicine

NPI 1164466322

Doctor of Medicine (M.D.)

Dr. Truongson Nguyen , DO

Family Medicine

NPI 1629517792

Doctor of Osteopathic Medicine (D.O.)

Dr. Henry Cho , MD

Family Medicine

NPI 1710484746

Doctor of Medicine (M.D.)

Nadine Cosico , PA-C

Physician Assistant

NPI 1992811749

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 06, 2026

Registered at 6417 HAVEN AVE STE 110, RANCHO CUCAMONGA, CA 917373804 (Tel: 9099412273)

📍

Updated Business Mailing Address March 06, 2026

Registered at 6417 HAVEN AVE STE 110, RANCHO CUCAMONGA, CA 917373804 (Tel: 9099412273)

👤

Provider Name / Credentials Updated March 06, 2026

Recorded as BRIAN IM, PA

✅

NPI Profile Active December 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 23, 2014

Registered at 17811 CECELIA PL, CERRITOS, CA 907038712 (Tel: 5627540828)

📍

Updated Business Mailing Address December 23, 2014

Registered at 17811 CECELIA PL, CERRITOS, CA 907038712 (Tel: 5627540828)

👤

Provider Name / Credentials Updated December 23, 2014

Recorded as BRIAN IM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2014

Physician Assistant (License #PA21262 in CA)

🟢

Initial NPI Registration & Enumeration October 27, 2010

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: 1700186491

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2010

Last Update: March 06, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6417 Haven Ave Ste 110

Rancho Cucamonga, CA 917373804

Phone: 9099412273

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.