Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christian Michael Kondan, PA-C

Individual provider Physician Assistant · NPI 1255073748

Christian Michael Kondan, PA-C is a Physician Assistant in Lakeside, California. Qualified in 2021, 5 years ago. Practices with Smi Imaging LLC, a 376-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

13523 Sohail St
Lakeside, CA 92040-4762
Phone: (619) 564-9461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60948 (CA)

Record details

NPI number1255073748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address13523 Sohail St, Lakeside, CA 92040-4762

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations62 on file with Medicare

Other providers in Lakeside