Fedrigo Podiatry A Professional Corporation
NPI 1790968618ActiveOrganization· Clinic/Center, Podiatric· Kentfield, CA
Clinic/Center, Podiatric in Kentfield, California, registered in NPPES in December 2007. The authorized official on file is Anthony J. Fedrigo, DPM, Dpm. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790968618 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2007 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Podiatric Primary | 261QP1100X | E4298 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|