Kenneth B. Fechtner, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G660850 Issued in CA

Practice address

2250 Hayes St
San Francisco, CA 94117-1013

Phone

(415) 750-5761

Fax

(415) 666-0210

NPI assigned

May 27, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1396748893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171013",
            "telephone_number": "415-750-5761",
            "fax_number": "415-666-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171013",
            "telephone_number": "415-750-5761",
            "fax_number": "415-666-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHTNER",
        "first_name": "KENNETH",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G660850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G660850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Negin Fazilat, NP
• Angela Fazio-Landrum, LCSW
• Sal Fazio, MD
• Michael James Feasby
• Kelia Febo
• Jeanette Feddes
• Emily Fedewa, FNP-BC
• Alison Nicole Abele Fedigan, MD
• Susan M Fedinec, DO
• Erika Fedyashov, DDS

• Physical Medicine & Rehabilitation Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.