Akira Kondo, A.T.C

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1331 Issued in AZ

Practice address

Pima Community College
2202 W Anklam Rd
Tucson, AZ 85709-0285

Phone

(520) 206-6012

Fax

(520) 206-6799

NPI assigned

Feb 16, 2006

Last updated

Sep 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1598739310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PIMA COMMUNITY COLLEGE",
            "address_2": "2202 W ANKLAM RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857090285",
            "telephone_number": "520-206-6012",
            "fax_number": "520-206-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PIMA COMMUNITY COLLEGE",
            "address_2": "2202 W ANKLAM RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857090285",
            "telephone_number": "520-206-6012",
            "fax_number": "520-206-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDO",
        "first_name": "AKIRA",
        "name_prefix": "Mr.",
        "credential": "A.T.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A00052",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Kom Sipowa, MD
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• Sitara Kommareddi, MD
• Bradley Konecnik, DMD
• Naveen Konidala
• Elise Fassler Konigsberg, WHCNP
• Julie Konigsberg, LCSW
• Bonjung Jane Koo, D.D.S.

• Athletic Trainer in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.