KTP Foot and Ankle Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KTP FOOT AND ANKLE INC

Practice address

1855 N Fair Oaks Ave # 200
Pasadena, CA 91103-1620

Phone

(626) 398-6300

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Thang Dinh Pham, DPMNPI 1154718021

Title

President

Phone

(714) 654-4607

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Thang Dinh Pham, DPM

  • Foot & Ankle Surgery Podiatrist
  • El Monte, CA
  • NPI 1154718021
  NPD (past) Authorized official
• Jochen Strack, MSN, RN

  • Nurse Practitioner
  • Pasadena, CA
  • NPI 1558712349
  NPD
• Yuxi Tang

  • Clinical Social Worker
  • Pasadena, CA
  • NPI 1770835829
  NPD
• Song Yun Vanessa Han, PHARM.D.

  • Pharmacist
  • Pasadena, CA
  • NPI 1568777340
  NPD (past)
• George M Sonneborn, AFE23957

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1922187962
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584835200000",
    "number": "1508427972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9392 RUSSELL AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442354",
            "telephone_number": "714-654-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE # 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "626-398-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTP FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THANG DINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-654-4607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508427972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Krueger, AMFT
• Lisa Carmichael Krueger, PHD
• Aaron Krug, M.D.
• Allison Bernise Kruse
• Andre Ksajikian
• Kimberly Sheenru Ku, MD
• Jordan William Kubicki
• Karen Kuchan, LPCC
• Gillian Kudwitt
• Victoria Alicia Kuhl, PHD

• Foot & Ankle Surgery Podiatrist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.