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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

POMELO CA, PC
NPI 1164322863
Family Medicine in San Rafael, CA

Active since November 06, 2026
750 LAS GALLINAS AVE STE 105, SAN RAFAEL, CA 94903(914) 919-9200 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pomelo Ca, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POMELO CA, PC (NPI 1164322863) is a healthcare organization registered as a family medicine in San Rafael, California and active in the NPI registry since November 2026. The organization lists Isabelle Von Kohorn, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1164322863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOMELO CA, PC
Location Address750 LAS GALLINAS AVE STE 105San Rafael, CA 94903-3431
Mailing Address4701 Sangamore Rd Ste N100Bethesda, MD 20816-2558
Phone(914) 919-9200
Organization SubpartNo
Authorized OfficialIsabelle Von KohornChief Medical Officer · (914) 919-9200
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1164322863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
750 LAS GALLINAS AVE STE 105, San Rafael, CA 94903
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMEN'S AND CHILDREN'S HEALTH CA, P.C.
Nurse Practitioner (Women's Health)
750 LAS GALLINAS AVE STE 105
SAN RAFAEL, CA 94903
Marin County (929) 554-8289
POMELO CA, PC
Obstetrics & Gynecology
750 LAS GALLINAS AVE STE 105
SAN RAFAEL, CA 94903
Marin County (914) 919-9200
POMELO CA, PC
Obstetrics & Gynecology
750 LAS GALLINAS AVE STE 105
SAN RAFAEL, CA 94903
Marin County (914) 919-9200
POMELO CA, PC
Obstetrics & Gynecology
750 LAS GALLINAS AVE STE 105
SAN RAFAEL, CA 94903
Marin County (914) 919-9200
POMELO CA, PC
Obstetrics & Gynecology
750 LAS GALLINAS AVE STE 105
SAN RAFAEL, CA 94903
Marin County (914) 919-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pomelo Ca, PC's NPI number?

The NPI number for Pomelo Ca, PC is 1164322863. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Pomelo Ca, PC located?

Pomelo Ca, PC is located at 750 Las Gallinas Ave Ste 105, San Rafael, CA 94903. The listed phone number is (914) 919-9200.

What is Pomelo Ca, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pomelo Ca, PC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.