Active NPI
Kmedex Inc
- Surgical Critical Care Physician
- Folsom, CA
National Provider Identifier
1851165229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 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 DirectoryLocations
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.