Active NPI
Patrick Christopher Poon, M.D.
- Pediatrics Physician
- Santa Ana, CA
National Provider Identifier
1538151022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G30409
- Practice address
- 801 N. Tustin Ave., #205
Santa Ana, CA 92705-3600 - Phone
- (714) 953-9100
- Fax
- (714) 953-9400
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G30409 | CA | Primary |
Addresses
Primary practice location
801 N. Tustin Ave., #205
Santa Ana, CA 92705-3600
Mailing address
801 N. Tustin Ave., #205
Santa Ana, CA 92705-3600
Phone (714) 953-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30409 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1538151022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N. TUSTIN AVE., #205",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053600",
"telephone_number": "714-953-9100",
"fax_number": "714-953-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N. TUSTIN AVE., #205",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053600",
"telephone_number": "714-953-9100",
"fax_number": "714-953-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "PATRICK",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G30409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.