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

Poysophon Poysophon

Individual provider Internal Medicine Physician · NPI 1902250194

Poysophon Poysophon is an Internal Medicine in Walnut Creek, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1425 S Main St
Walnut Creek, CA 94596-5318
Phone: (925) 295-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 — (213) 977-2121

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A150669 (CA)

Record details

NPI number1902250194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walnut Creek