Michael T Lardon MD Apc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MICHAEL T LARDON MD APC

Practice address

3750 Convoy St Ste 318
San Diego, CA 92111-3741

Phone

(858) 292-2929

Fax

(858) 292-2909

NPI assigned

Oct 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael Theodore Lardon, MDNPI 1174630305

Title

Ceo/Owner

Phone

(858) 292-2929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Michael Theodore Lardon, M.D.

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1174630305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1861035495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113741",
            "telephone_number": "858-292-2929",
            "fax_number": "858-292-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113741",
            "telephone_number": "858-292-2929",
            "fax_number": "858-292-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T LARDON MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "LARDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "858-292-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Wang, OD, a Professional Optometric Corporation (Designer Eyes Optometry)
• Georgina Maxine Michael, NP
• Leyla Michael
• Madeline Michael
• Olivia G Michael

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.