MR. MARK T KIDON DPM NPI 1700999810

NPI Information

  • NPI: 1700999810
  • Provider Name: MR. MARK T KIDON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 10 CONGRESS ST
    #410
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 799-1194

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NPI Details

MR. Mark T Kidon, DPM is a foot and ankle surgery podiatrist in Pasadena, CA. MR. Mark T Kidon, DPM NPI is 1700999810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 CONGRESS ST
#410
PASADENA, CA
ZIP 91105
Phone: (626) 799-1194
Fax: (626) 449-9862

The enumeration date for this NPI number is 8/16/2006 and was last updated on 2/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE3196CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E3196OTHERCALIFORNIASTATE LICENSE
200E1960MEDICAIDCALIFORNIA
3WE126AMEDICARE PINCALIFORNIA
4T19082MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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