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

Dr. Kenneth Joseph Passeri, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1700832219

Dr. Kenneth Joseph Passeri, DPM is a Podiatry in San Ramon, California. Graduated from California School of Podiatric Medicine in 1984, 42 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2483 Paddock Dr
San Ramon, CA 94583-2428
Phone: (925) 829-4641
Fax: (925) 905-8971
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E3347 (CA)

Record details

NPI number1700832219
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address2483 Paddock Dr, San Ramon, CA 94583-2428

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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