Steven Michael Kong, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

080702267

Practice address

1700 W Hillsdale Blvd BLDG 30a
San Mateo, CA 94402-3757

Phone

(650) 574-6560

NPI assigned

Jan 26, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1417548173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 N CENTRAL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080110",
            "telephone_number": "408-410-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W HILLSDALE BLVD BLDG 30A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023757",
            "telephone_number": "650-574-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "080702267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Kendra Kolda, LCSW
• Michael Kolin, RN
• Rebecca Lee Kolker Zhang, LMFT
• Jennifer Kolling
• Catrina E Kolm
• Rachael Melissa Konikoff, MFTI
• Stanley W Konrad, D.D.S.
• Sydna Christine Konstin, MS COUNSELING MFT
• Jacqueline Koo, MD
• Man Lai Koon, O,T,

• Athletic Trainer in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.