Individual provider Active NPI

Kathleen Megan-Fox Vigano, P.A.

  • Physician Assistant
  • Fremont, CA
National Provider Identifier
1033441175
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20807 Issued in CA
Practice address
46690 Mohave Dr
Fremont, CA 94539-7001
Phone
(510) 651-2371
Fax
(510) 661-0380
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20807 CA Primary

Addresses

Primary practice location

46690 Mohave Dr
Fremont, CA 94539-7001

Mailing address

46690 Mohave Dr
Fremont, CA 94539-7001
Phone (510) 651-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000344 CA Practitioner - Physician Assistant 8022292366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20807CAMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1033441175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46690 MOHAVE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397001",
            "telephone_number": "510-651-2371",
            "fax_number": "510-661-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46690 MOHAVE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397001",
            "telephone_number": "510-651-2371",
            "fax_number": "510-661-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGANO",
        "first_name": "KATHLEEN",
        "middle_name": "MEGAN-FOX",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.