Kole Porter

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

95040688 Issued in CA

Practice address

2771 N Garey Ave Unit 136
Pomona, CA 91767-1877

Phone

(925) 446-9832

NPI assigned

Jul 21, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1861313561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 N GAREY AVE UNIT 136",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671877",
            "telephone_number": "925-446-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 N GAREY AVE UNIT 136",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671877",
            "telephone_number": "925-446-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KOLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "CA",
            "license": "95040688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasoul Pooyandeh, D.C.
• Martin Jay Porcelli, D.O.
• Breanna Porchia
• Ebony Porter
• Katrice Porter
• Starla Porter
• Casey Portillo
• Alexander Aram Postajian
• Shela Pournazari
• Brian Daniel Powell

• Critical Care Pediatric Nurse Practitioner in Pomona, CA
• Providers in Pomona, CA by specialty
• Critical Care Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.