Kidisthenics Fitness Company

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KIDISTHENICS FITNESS COMPANY

Practice address

15415 Eastvale Rd
Poway, CA 92064-2340

Phone

(619) 992-2753

NPI assigned

Mar 4, 2025

Organization subpart

No

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

Authorized official

Name

Ryan Bigelow

Title

Chief Operations Officer

Phone

(619) 992-2753

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1548068703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 SHELTER ISLAND DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 EASTVALE RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642340",
            "telephone_number": "619-992-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDISTHENICS FITNESS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "619-992-2753"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Schwartz M D a Medical Corporation
• Shafi M. Khalid, M.D.
• Alireza Khansari, DDS, MSD
• Sonal Khattri, MD
• Kiyana Kianfar-Jagoda, LMFT, PSY.D
• Jayma E Kim, M.F.T.
• Perla Figa Kimball, L.AC
• Amber Janeice Kimmins, ASW
• Haleigh A King, LMT
• Ailee Kirkpatrick

• Developmentally Disabled Services Day Training Agency in Poway, CA
• Providers in Poway, CA by specialty
• Developmentally Disabled Services Day Training Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.