Christian Michael Kondan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60948 Issued in CA

Practice address

13523 Sohail St
Lakeside, CA 92040-4762

Phone

(619) 564-9461

NPI assigned

Apr 13, 2022

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, FL, WI, AZ, NV, TX6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 6

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Health Diagnostics of California a Professional CorporationGroup PAC ID 4284621525, 176 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: christian.kondan.p1@direct.arch.nextgenshare.com

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.

• Health Diagnostics of California a Professional Corporation

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959
  Medicare reassignment Care Compare group NPD
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Tampa

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818

  CA

  Medicare reassignment Care Compare group NPD
• Smi Imaging, LLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  CA, NV, TX

  Medicare reassignment Care Compare group NPD
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Escondido

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment NPD
• Howard Simon MD PLLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1659930998

  CA, WI

  Medicare reassignment NPD
• Simonmed Reno PLLC

  dba Reno Diagnostic Center

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1306576145
  Medicare reassignment NPD
• Rama Thiru Pathi MD Inc.

  • Orthopaedic Surgery Physician
  • Apple Valley, CA
  • NPI 1548544166
  Medicare reassignment
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Beaumont

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653
  NPD
• Simonmed Imaging Florida LLC

  dba Simonmed Imaging Carrollwood

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1689317497
  NPD
• Smi Imaging LLC

  dba Mobile Onsite Mammography

  • Mobile Mammography Clinic/Center
  • Tempe, AZ
  • NPI 1609412642
  NPD
• Smi Imaging LLC

  dba Simonmed Imaging West Charleston

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1609745561
  NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1255073748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 SOHAIL ST",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920404762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13523 SOHAIL ST",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920404762",
            "telephone_number": "619-564-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDAN",
        "first_name": "CHRISTIAN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James a. Cloyd DDS Inc.
• Omar Johnson, ARDMS, ARRT
• Robert Johnson, M.D.
• Cassandra Mary Kauffman, PSYD
• Vania Knight, LEP
• John E. Kramer, D.D.S.
• Sarah Kyanza Kyanza
• Lakeside Fire Protection
• Lakeside Union
• Larry J Marshall MD a Professional Corporation

• Physician Assistant in Lakeside, CA
• Providers in Lakeside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.