Active NPI
Kathryn Elaine Fone, DPM
- Podiatrist
- Fairfield, CA
National Provider Identifier
1386726347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E36360 | Medicaid | CA |
Other names 1
- Kathy E Fone
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120507000725 | CA | Practitioner - Podiatry | 2567624646 | Practice locations: Fairfield, CA; Vacaville, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3636 | CA | MD | Podiatrist |
| 3636 | CA | MD | Critical Care Medicine Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacifica Senior Living Vacaville LLC | Past | 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.
-
- Alzheimer Center (Dementia Center)
- Vacaville, CA
- NPI 1255930095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.