| Kenneth Kin Ning Poon, FNP-C | |
|
301 Industrial Rd, San Carlos, CA 94070-2603 | |
| (650) 596-4000 | |
| Not Available |
| Full Name | Kenneth Kin Ning Poon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 301 Industrial Rd, San Carlos, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790222164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95005757 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Kin Ning Poon, FNP-C 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 596-4000 | Kenneth Kin Ning Poon, FNP-C 301 Industrial Rd, San Carlos, CA 94070-2603 Ph: (650) 596-4000 |
Mrs. Diana Tatarkhanova, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240 | |
Amy Kathleen Mccarthy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000 | |
Miss Christine Natan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240 | |
Grace Watson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240 | |
Christina F Van Divner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4130 | |
Michelle Karen Lee, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000 | |
Mrs. Sarina Mai Lee Safina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Shoreway Rd Ste A, San Carlos, CA 94070 Phone: 650-556-9420 Fax: 661-678-2779 |