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

Mykaela Poe

Individual provider Physician Assistant · NPI 1861357147

Mykaela Poe is a Physician Assistant in Larkspur, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

5 Bon Air Rd Ste 117
Larkspur, CA 94939-1138
Phone: (415) 448-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 67832 (CA)

Record details

NPI number1861357147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address1319 Washington Ave, Po Box 41, San Leandro, CA 94577

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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