Michael Theodore Lardon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A48664 Issued in CA

Practice address

3750 Convoy St
Suite 318
San Diego, CA 92111-3738

Phone

(858) 292-2929

Fax

(858) 292-2909

NPI assigned

Aug 24, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Texas Medical Branch at Galveston, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Michael T Lardon MD Apc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1861035495
  Medicare reassignment NPD Authorized official
• Imaginative Horizons Inc

  dba Hillcrest Manor Sanitarium

  • Skilled Nursing Facility
  • National City, CA
  • NPI 1255480646
  NPD (past)
• Michael K Fairbanks DPM a Professional Corporation

  • Podiatrist
  • San Dimas, CA
  • NPI 1629358411
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174630305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-292-2929",
            "fax_number": "858-292-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-292-2929",
            "fax_number": "858-292-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDON",
        "first_name": "MICHAEL",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A48664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Lara
• Judd Laraway, PA-C
• Anthony Larceval
• Angelique Marie Lard
• Justin Bernal Lardizabal
• Zoe Large
• Amber Largent, L.AC.
• Theresa L Largent, CRNA
• April Rose Largura, HHP
• Bianca Larios Madrigal

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.