Kevin J Pidgeon, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A41583 Issued in CA

Practice address

18300 Roscoe Blvd
Northridge, CA 91325-4105

Phone

(818) 885-8500

Fax

(818) 727-1451

NPI assigned

Mar 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Joel S. Rosen, MD, Inc

  • Rehabilitation Hospital Unit
  • Northridge, CA
  • NPI 1942444302
  NPD (past)
• Thomas L. Hedge, M.D. a Medical Corporation

  • Spinal Cord Injury Medicine Physician
  • Northridge, CA
  • NPI 1811137557
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1083673446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515448",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900516741",
            "telephone_number": "818-885-8500",
            "fax_number": "818-727-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254105",
            "telephone_number": "818-885-8500",
            "fax_number": "818-727-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDGEON",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A41583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A415830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip S Shore M D Inc
• Beth Jo Phillips, PT, DPA
• Emily Phung
• Thu Phung, MSW, LCSW
• Jessica Pichardo, AMFT 146836
• Jailene Alejandra Pina
• Leslie Katherine Pineda
• Michael Robert Pines, PHD
• Anna Rose Francisco Pinlac Sanchez, D.O.
• Janet Elizabeth Pinneau, MFT

• Physical Medicine & Rehabilitation Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.