Individual provider Active NPI

Kathryn Elaine Fone, DPM

  • Podiatrist
  • Fairfield, CA
National Provider Identifier
1386726347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3636 Issued in CA
Practice address
2750 N Texas St
Ste 230
Fairfield, CA 94533-1290
Phone
(707) 422-6642
Fax
(707) 447-2163
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3636 CA Primary

Addresses

Primary practice location

2750 N Texas St
Ste 230
Fairfield, CA 94533-1290

Mailing address

2750 N Texas St
Ste 230
Fairfield, CA 94533-1290
Phone (707) 422-6642

Other identifiers 1

IdentifierTypeStateIssuer
000E36360MedicaidCA

Other names 1

  • Kathy E Fone Other name

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120507000725 CA Practitioner - Podiatry 2567624646 Practice locations: Fairfield, CA; Vacaville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3636CAMDPodiatrist
3636CAMDCritical Care Medicine Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacifica Senior Living Vacaville LLC PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386726347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N TEXAS ST",
            "address_2": "STE 230",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331290",
            "telephone_number": "707-422-6642",
            "fax_number": "707-447-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N TEXAS ST",
            "address_2": "STE 230",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331290",
            "telephone_number": "707-422-6642",
            "fax_number": "707-447-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONE",
        "first_name": "KATHRYN",
        "middle_name": "ELAINE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E36360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "FONE",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.