Individual provider Active NPI

Christina L Poon, M.D.

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1013211135
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-17900 Issued in HI
Practice address
2226 Liliha St Ste 308
Honolulu, HI 96817-1605
Phone
(808) 892-4361
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2017-0471 NM
Family Medicine Physician 207Q00000X A117643 CA
Family Medicine Physician 207Q00000X MD-17900 HI Primary

Addresses

Primary practice location

2226 Liliha St Ste 308
Honolulu, HI 96817-1605

Mailing address

2226 Liliha St Ste 308
Honolulu, HI 96817-1605
Phone (808) 892-4361

Other practice location 1

701 5th Ave Ste 2300
Seattle, WA 98104-7041
Phone (866) 657-7991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306000755 CA Practitioner - Family Practice 0941430227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117643CAMDFamily Medicine Physician
MD2017-0471NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Oct 20, 2014 Accepting new patients
Mission City Community Network, Inc. CurrentSince Oct 20, 2014 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients

Locations

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

15206 Parthenia St
Sepulveda, CA 91343

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1013211135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "808-892-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "808-892-4361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 5th Ave Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981047041",
            "country_code": "US",
            "telephone_number": "866-657-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POON",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0471",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A117643",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-17900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.