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DR. KENNETH POMAR REBONG M.D.
NPI 1326054776
General Practice in San Jose, CA

Active since July 31, 2006PECOS Enrolled
2350 MCKEE RD, SUITE 1, SAN JOSE, CA 95116(408) 729-3232(408) 729-2165 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Pomar Rebong M.d. NPPES

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

DR. KENNETH POMAR REBONG M.D. (NPI 1326054776) is an individual general practice provider in San Jose, California, licensed in California (A045813) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326054776
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KENNETH POMAR REBONGCredential: M.D.
Location Address2350 MCKEE RD, SUITE 1San Jose, CA 95116-1617
Mailing Address2350 Mckee Rd, Suite 1San Jose, CA 95116-1617 · (408) 729-3232 · Fax (408) 729-2165
Phone(408) 729-3232
Fax(408) 729-2165
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 6, 2016
✔ NPI 1326054776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A045813
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License A45813 (CA)
2350 MCKEE RD, San Jose, CA 95116
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Pomar Rebong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

ANSON MEDICAL INC
Clinic/Center (Primary Care)
2350 MCKEE RD, STE 1
SAN JOSE, CA 95116
Santa Clara County (408) 729-3232
MCKEE MEDICAL PHARMACY INC
Pharmacy
2350 MCKEE RD, STE A3
SAN JOSE, CA 95116
Santa Clara County (408) 923-8871
MARIE ANSON-REBONG
Clinic/Center (Primary Care)
2350 MCKEE RD, SUITE 1
SAN JOSE, CA 95116
Santa Clara County (408) 729-3232
DR. TIMOTHY T. WANG M.D.
Ophthalmology
2350 MCKEE RD, SUITE 2
SAN JOSE, CA 95116
Santa Clara County (408) 272-2020

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 Kenneth Rebong's NPI number?

The NPI number for Kenneth Rebong is 1326054776. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Kenneth Rebong located?

Kenneth Rebong practices at 2350 Mckee Rd Suite 1, San Jose, CA 95116. The listed phone number is (408) 729-3232.

What is Kenneth Rebong's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kenneth Rebong enrolled in Medicare?

Yes. Kenneth Rebong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Rebong was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.