Pomelo Ca, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

POMELO CA, PC

Practice address

750 Las Gallinas Ave Ste 105
San Rafael, CA 94903-3431

Phone

(914) 919-9200

NPI assigned

Aug 11, 2026

Organization subpart

No

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

Authorized official

Name

Isabelle Von Kohorn

Title

MD

Phone

(914) 919-9200

Specialties & licenses 4

Addresses

Tax ID family

Pomelo Ca PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Pomelo Ca, PC

  • Obstetrics & Gynecology Physician
  • San Rafael, CA
  • NPI 1215852918
  NPD tax ID
• Pomelo Ca, PC

  • Obstetrics & Gynecology Physician
  • San Rafael, CA
  • NPI 1477271260
  NPD tax ID
• Pomelo Ca, PC

  • Obstetrics & Gynecology Physician
  • San Rafael, CA
  • NPI 1902739360
  NPD tax ID

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1124943816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE N100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 105",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033431",
            "telephone_number": "914-919-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMELO CA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "VON KOHORN",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-919-9200"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Polacci, LCSW
• Sarah J Polfliet, M.D.
• Susan Pollack, LCSW
• Carol H Pollard, PSYD
• Yelena Pomazan
• Pomelo Ca, PC
• Pomelo Ca, PC
• Pomelo Ca, PC
• Sydne Michelle Pomin, D.C.
• Veronica Ponce

• Obstetrics & Gynecology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.