Active NPI
Kenneth Edward Fouts II, MD PHD
- Anesthesiology Physician
- Carmichael, CA
National Provider Identifier
1346578937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G57440
- Practice address
- 3025 San Lorenzo Way
Carmichael, CA 95608-4552 - Phone
- (916) 202-4072
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G57440 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 35 . 051852 | OH |
Addresses
Primary practice location
3025 San Lorenzo Way
Carmichael, CA 95608-4552
Mailing address
3025 San Lorenzo Way
Carmichael, CA 95608-4552
Phone (916) 202-4072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57440 | CA | MD | Anesthesiology Physician |
| 35 . 051852 | OH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1346578937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 SAN LORENZO WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084552",
"telephone_number": "916-202-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 SAN LORENZO WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084552",
"telephone_number": "916-202-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUTS",
"first_name": "KENNETH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G57440",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35 . 051852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.