DR. KENNETH POMAR REBONG (NPI# 1326054776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326054776 |
| Entity Type | Individual |
| Full Name | DR. KENNETH POMAR REBONG |
| Credential | M.D. |
| Practice Address |
2350 Mckee Rd Suite 1 San Jose CA 95116-1617 |
| Practice Telephone | 4087293232 |
| Practice Fax Number | 4087292165 |
| Mailing Telephone | 4087293232 |
| Mailing Fax Number | 4087292165 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
A45813 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A045813 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2350 MCKEE RD SUITE 1 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863638 | Nilda Agnes Abella Abellera | Pediatrics | 2350 Mckee Rd, Suite 1, San Jose, CA 95116-1617 | 2005-10-04 |
| 1528406287 | Marie Anson-rebong | Clinic/Center | 2350 Mckee Rd, Suite 1, San Jose, CA 95116-1606 | 2013-06-04 |
| 1083051080 | Anson Medical Inc | Clinic/Center | 2350 Mckee Rd, Ste 1, San Jose, CA 95116-1606 | 2013-05-30 |
| 1902820087 | Timothy T. Wang | Ophthalmology | 2350 Mckee Rd, Suite 2, San Jose, CA 95116-1617 | 2006-07-26 |
| 1235191339 | Mckee Medical Pharmacy Inc | Pharmacy | 2350 Mckee Rd, Ste A3, San Jose, CA 95116-1617 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558349 | Forrest Robert Hamlin Sr. | General Practice | 415 E Taylor St, San Jose, CA 95112 | 2017-06-20 |
| 1811334741 | Thanh Nguyet T Mehlert | General Practice | 1097 Foxhurst Way, San Jose, CA 95120-4226 | 2013-06-01 |
| 1881866812 | Harry David Friedman | General Practice | 3097 Moorpark Ave, Suite 102, San Jose, CA 95128-2543 | 2008-03-31 |
| 1346446481 | Dai Tu Pham | General Practice | 10 S 14th St, San Jose, CA 95112-2015 | 2007-06-25 |
| 1952529497 | James Stephen Dyer | General Practice | 6052 Montgomery Bnd, San Jose, CA 95135-1429 | 2007-04-22 |
| 1659408292 | Youssef Shakib Fahimi | General Practice | 1754 Dalton Pl, San Jose, CA 95124-5701 | 2007-02-28 |
| 1134228752 | Albert A Gomez | General Practice | 1644 Alum Rock Ave, San Jose, CA 95116-2429 | 2006-09-21 |
| 1467550608 | Them Huynh | General Practice | 1855 Alum Rock Ave Ste C, San Jose, CA 95116-1398 | 2006-09-20 |
| 1427153808 | Henry R Gan | General Practice | 1685 Westwood Dr, #3, San Jose, CA 95125 | 2006-09-13 |
| 1396848230 | Robert K.c. Lin | General Practice | 888 N Winchester Blvd, San Jose, CA 95128-1353 | 2006-09-06 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.