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FEDRIGO PODIATRY A PROFESSIONAL CORPORATION
NPI 1790968618
Clinic/Center - Podiatric in Kentfield, CA

Active since December 13, 2007
1125 SIR FRANCIS DRAKE BLVD STE 1, KENTFIELD, CA 94904(415) 461-6555(415) 461-6556 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Nov 9, 2022 (2 updates tracked since 2022).

About Fedrigo Podiatry A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FEDRIGO PODIATRY A PROFESSIONAL CORPORATION (NPI 1790968618) is a healthcare organization registered as a podiatric in Kentfield, California and active in the NPI registry since December 2007. The organization maintains a secondary practice location in Kentfield and lists Anthony J Fedrigo, Dpm, as its authorized official.

NPPES Registry Identity

NPI1790968618
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameFEDRIGO PODIATRY A PROFESSIONAL CORPORATION
Location Address1125 SIR FRANCIS DRAKE BLVD STE 1Kentfield, CA 94904-1418
Mailing Address1125 Sir Francis Drake Blvd Ste 1Kentfield, CA 94904-1418 · (415) 461-6555 · Fax (415) 461-6556
Phone(415) 461-6555
Fax(415) 461-6556
Organization SubpartNo
Authorized OfficialAnthony J FedrigoDpm · (415) 461-6555
Enumeration DateDecember 13, 2007
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1790968618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in CA · E4298
1125 SIR FRANCIS DRAKE BLVD STE 1, Kentfield, CA 94904
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Secondary Practice Location 1

Location 11225 Sir Francis Drake Blvd., Suite 1Kentfield, CA 94904 · Phone (415) 461-6555 · Fax (415) 461-6556

Other Identifiers 1

Other000E42980CA · Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FEDRIGO PODIATRY, APC
Podiatrist (Foot & Ankle Surgery)
1125 SIR FRANCIS DRAKE BLVD STE 1
KENTFIELD, CA 94904
Marin County (415) 461-6555
DR. ANTHONY JAMES FEDRIGO DPM
Podiatrist (Foot & Ankle Surgery)
1125 SIR FRANCIS DRAKE BLVD STE 1
KENTFIELD, CA 94904
Marin County (415) 461-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fedrigo Podiatry A Professional Corporation's NPI number?

The NPI number for Fedrigo Podiatry A Professional Corporation is 1790968618. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Fedrigo Podiatry A Professional Corporation located?

Fedrigo Podiatry A Professional Corporation is located at 1125 Sir Francis Drake Blvd Ste 1, Kentfield, CA 94904. The listed phone number is (415) 461-6555.

What is Fedrigo Podiatry A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Fedrigo Podiatry A Professional Corporation was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.