DR. KENNETH JOSEPH PASSERI (NPI# 1700832219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700832219 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JOSEPH PASSERI |
| Credential | D.P.M. |
| Practice Address |
101 S San Mateo Dr #212 San Mateo CA 94401-3819 |
| Practice Telephone | 6503425733 |
| Practice Fax Number | 6503420525 |
| Mailing Telephone | 6503425733 |
| Mailing Fax Number | 6503420525 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3347 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E33470 | 05 |
| Street Address |
101 S SAN MATEO DR #212 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060308 | Jacqueline Koo | Ophthalmology | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2005-08-11 |
| 1205472115 | Catrina Patricia Blake | Nurse Practitioner | 101 S San Mateo Dr, San Mateo, CA 94401-3819 | 2019-11-26 |
| 1710425921 | Comprehensive Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr, Suite 212, San Mateo, CA 94401-3819 | 2017-02-08 |
| 1689031346 | Jennifer Tran | Nurse Practitioner | 101 S San Mateo Dr, #102, San Mateo, CA 94401-3819 | 2016-01-26 |
| 1104201334 | San Mateo Rheumatology Inc. | Internal Medicine | 101 S San Mateo Dr, Suite 307, San Mateo, CA 94401-3819 | 2015-07-29 |
| 1265845077 | Aaron Kwan | Optometrist | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2014-06-09 |
| 1699111617 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 101 S San Mateo Dr, Suite 202, San Mateo, CA 94401-3819 | 2013-05-16 |
| 1548599145 | Peninsula Spine & Sports Rehab, A Rommel Hindocha Chiropractic Corp. | Chiropractor | 101 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3819 | 2009-12-10 |
| 1194959569 | Dale Jacknow | Pediatrics | 101 S San Mateo Dr, Suite 208, San Mateo, CA 94401-3819 | 2009-05-13 |
| 1578704045 | San Mateo Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346646197 | Peninsula Foot and Ankle Center Corp | Podiatrist | 25 Seville Way, San Mateo, CA 94402-2830 | 2014-11-06 |
| 1992873905 | Anthony Errico | Podiatrist | 101 S San Mateo Dr, Ste 212, San Mateo, CA 94401-3819 | 2006-11-30 |
| 1295756674 | Alireza Ghamgosar | Podiatrist | 50 S San Mateo Dr, Suite 470, San Mateo, CA 94401-3857 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KENNETH JOSEPH PASSERI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.