Organization Active NPI

Kmedex Inc

  • Surgical Critical Care Physician
  • Folsom, CA
National Provider Identifier
1851165229
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
KMEDEX INC
Practice address
330 Montrose Dr
Folsom, CA 95630-2720
Phone
(916) 741-7333
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Kevin Jeffrey Mitchell, MD
Title
Owner
Phone
(916) 741-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0102X Primary

Addresses

Primary practice location

330 Montrose Dr
Folsom, CA 95630-2720

Mailing address

2522 R St
Sacramento, CA 95816-6955
Phone (916) 741-7333

National Provider Directory

National Provider Directory

Locations

1618 Alhambra Blvd
Unit 162513
Sacramento, CA 95816

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1851165229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 R ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166955",
            "telephone_number": "916-741-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MONTROSE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302720",
            "telephone_number": "916-741-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMEDEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-741-7333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.