Individual provider Active NPI

Anthony Kupono Kwon, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1760127690
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A207845 Issued in CA
Practice address
455 Oconnor Dr Ste 250
San Jose, CA 95128-1644
Phone
(408) 283-7666
NPI assigned
May 4, 2022
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MDR-8282 HI
Family Medicine Physician 207Q00000X A207845 CA Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 250
San Jose, CA 95128-1644

Mailing address

455 Oconnor Dr Ste 250
San Jose, CA 95128-1644
Phone (408) 283-7666

Other practice location 1

98-1005 Moanalua Rd Spc 3030
Aiea, HI 96701-4735
Phone (808) 486-6000

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDR-8282HIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1760127690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281644",
            "telephone_number": "408-283-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281644",
            "telephone_number": "408-283-7666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-1005 Moanalua Rd Spc 3030",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014735",
            "country_code": "US",
            "telephone_number": "808-486-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "ANTHONY",
        "middle_name": "KUPONO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-8282",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A207845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.