Organization Active NPI

KP Tong, DPM, Podiatry Corporation

  • Podiatrist
  • Sausalito, CA
National Provider Identifier
1235029026
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KP TONG, DPM, PODIATRY CORPORATION
Practice address
180 Harbor Dr
Sausalito, CA 94965-2844
Phone
(415) 754-0488
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Khanh Phuong Tong, DPMNPI 1336898444
Title
Owner
Phone
(206) 697-4998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

180 Harbor Dr
Sausalito, CA 94965-2844

Mailing address

3001 Bridgeway Ste K
Sausalito, CA 94965-1485
Phone (415) 754-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811003082 CA Part B Supplier - Clinic/Group Practice 2163920943 Receives reassigned benefits from 1 practitioner
Practice locations: Sausalito, CA

National Provider Directory

National Provider Directory

Locations

180 Harbor Dr
Sausalito, CA 94965
Phone (415) 339-8800

3001 Bridgeway
Ste K
Sausalito, CA 94965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1235029026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BRIDGEWAY STE K",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651485",
            "telephone_number": "415-754-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HARBOR DR",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652844",
            "telephone_number": "415-754-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP TONG, DPM, PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "KHANH PHUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-697-4998",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.