Kidango

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

252Y00000X Issued in CA

Legal business name

KIDANGO

Practice address

44000 Old Warm Springs Blvd
Fremont, CA 94538-6145

Phone

(510) 565-0837

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Alisson Ellwood

Title

Supervisor

Phone

(510) 565-0837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1194032656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 OLD WARM SPRINGS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386145",
            "telephone_number": "510-565-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 OLD WARM SPRINGS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386145",
            "telephone_number": "510-565-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDANGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "ELLWOOD",
        "authorized_official_first_name": "ALISSON",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "510-565-0837"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "252Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenny Khor, BCBA
• Navreet Kaur Khosa, PA
• Farzien Khoshniat-Rad, DO
• Samina Omar Khwaja, M.D.
• Kristin Kiang, OD
• Kidango
• Megan Kiefert
• Hiroyasu Kikawa, M.D.
• Prasad G Kilaru
• Dorothy Perez Killian, A.U.

• Early Intervention Provider Agency in Fremont, CA
• Providers in Fremont, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.