Mrs Keren Ann Podboy, PMHNP-BC - Nurse Practitioner in San Jose, CA

Mrs Keren Ann Podboy, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in San Jose, California. Mrs Keren Ann Podboy is licensed to practice in California (license number 95012011) and her current practice location is 2039 Forest Ave Ste 201, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 358-8090.

NPI number for Mrs Keren Ann Podboy is 1063073138 and her current mailing address is 6 Paulson Ct, San Mateo, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063073138.

Contact Information

Mrs Keren Ann Podboy, PMHNP-BC
2039 Forest Ave Ste 201,
San Jose, CA 95128-4815
(408) 358-8090
Not Available

Map and Direction




Provider's Profile

Full NameMrs Keren Ann Podboy
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2039 Forest Ave Ste 201, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063073138
  • Provider Enumeration Date: 06/27/2019
  • Last Update Date: 06/27/2019

Medical Identifiers

Medical identifiers for Mrs Keren Ann Podboy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063073138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95012011 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keren Ann Podboy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Keren Ann Podboy, PMHNP-BC
6 Paulson Ct,
San Mateo, CA 94403-1718

Ph: (612) 875-4922
Mrs Keren Ann Podboy, PMHNP-BC
2039 Forest Ave Ste 201,
San Jose, CA 95128-4815

Ph: (408) 358-8090

Reviews and Comments


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