Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Kin Ning Poon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1790222164

Kenneth Kin Ning Poon, FNP-C is a Nurse Practitioner in San Carlos, California. Qualified in 2016, 10 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

301 Industrial Rd
San Carlos, CA 94070-2603
Phone: (650) 596-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39500 Liberty St, Fremont, CA 94538-2211 — (510) 770-8040

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95005757 (CA)

Record details

NPI number1790222164
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Carlos