NPIMap

Organization Active NPI

Mark T Kidon DPM Facfas a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Pasadena, CA
National Provider Identifier
1457567570
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3196 Issued in CA
Legal business name
MARK T KIDON DPM FACFAS A PODIATRY CORPORATION
Practice address
10 Congress St
Ste 410
Pasadena, CA 91105-3045
Phone
(626) 799-1194
Fax
(626) 449-9862
NPI assigned
May 15, 2007
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Mark T Kidon, DPMNPI 1700999810
Title
President
Phone
(626) 799-1194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3196 CA Primary

Addresses

Primary practice location

10 Congress St
Ste 410
Pasadena, CA 91105-3045

Mailing address

10 Congress St
Ste 410
Pasadena, CA 91105-3045
Phone (626) 799-1194

Other practice location 1

10 Congress St
Ste 410
Pasadena, CA 91105-3045
Phone (626) 799-1194

Other practice location 2

10 Congress St
Ste 410
Pasadena, CA 91105-3045
Phone (626) 799-1194

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1457567570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "STE 410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053045",
            "telephone_number": "626-799-1194",
            "fax_number": "626-449-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "STE 410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053045",
            "telephone_number": "626-799-1194",
            "fax_number": "626-449-9862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Congress St",
            "address_2": "Ste 410",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053045",
            "country_code": "US",
            "telephone_number": "626-799-1194",
            "fax_number": "626-449-9862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Congress St",
            "address_2": "Ste 410",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053045",
            "country_code": "US",
            "telephone_number": "626-799-1194",
            "fax_number": "626-449-9862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK T KIDON DPM FACFAS A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "KIDON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-799-1194",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.