DR. KENNETH POMAR REBONG M.D.
NPI 1326054776
General Practice in San Jose, CA

NPI Status: Active since July 31, 2006

Contact Information

2350 MCKEE RD
SUITE 1
SAN JOSE, CA
ZIP 95116
Phone: (408) 729-3232
Fax: (408) 729-2165

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  • Individual
  • Male
  • General Practice
  • PECOS Enrolled

About KENNETH REBONG

This page provides the complete NPI Profile along with additional information for Kenneth Rebong, a primary care provider established in San Jose, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1326054776 assigned on July 2006. The practitioner's primary taxonomy code is 208D00000X with license number A045813 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1326054776
Provider Name
DR. KENNETH POMAR REBONG M.D.
Gender
Male
Entity Type
Individual
Location Address
2350 MCKEE RD SUITE 1 SAN JOSE, CA 95116
Location Phone
(408) 729-3232
Location Fax
(408) 729-2165
Mailing Address
2350 MCKEE RD SUITE 1 SAN JOSE, CA 95116
Mailing Phone
(408) 729-3232
Mailing Fax
(408) 729-2165
Is Sole Proprietor?
No
Enumeration Date
07-31-2006
Last Update Date
04-06-2016
Code Navigator

A primary care provider (PCP) like Kenneth Rebong sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
A045813
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

A45813 (CA)

Medicare Participation & PECOS Enrollment Status

Kenneth Rebong is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. KENNETH POMAR REBONG M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326054776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346058714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 0 + 5 + 8 + 7 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1326054776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235191339MCKEE MEDICAL PHARMACY INC
Organization
Pharmacy2350 MCKEE RD STE A3
SAN JOSE, CA 95116
(408) 923-8871
1902820087DR. TIMOTHY T. WANG M.D.
Individual
Ophthalmology2350 MCKEE RD SUITE 2
SAN JOSE, CA 95116
(408) 272-2020
1609863638MRS. NILDA AGNES ABELLA ABELLERA MD
Individual
Pediatrics2350 MCKEE RD SUITE 1
SAN JOSE, CA 95116
(408) 272-0348
1083051080ANSON MEDICAL INC
Organization
Clinic/Center (Primary Care)2350 MCKEE RD STE 1
SAN JOSE, CA 95116
(408) 729-3232
1528406287MARIE ANSON-REBONG
Organization
Clinic/Center (Primary Care)2350 MCKEE RD SUITE 1
SAN JOSE, CA 95116
(408) 729-3232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326054776, enumerated in the NPI registry as an "individual" on July 31, 2006

The provider is located at 2350 Mckee Rd Suite 1 San Jose, Ca 95116 and the phone number is (408) 729-3232

The provider's speciality is General Practice with taxonomy code 208D00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.