JENNIFER K FONG (NPI# 1114256955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114256955 |
| Entity Type | Individual |
| Full Name | JENNIFER K FONG |
| Credential | DPM |
| Practice Address |
1620 Pennsylvania Ave Suite A Fairfield CA 94533-3551 |
| Practice Telephone | 7074265644 |
| Practice Fax Number | 7074263156 |
| Mailing Telephone | 7074265644 |
| Mailing Fax Number | 7074263156 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2014-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5041 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006409 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002342 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205331634 | Jennifer Fong | Student in an Organized Health Care Education/Training Program | 622 W 168th St Ph 5-133, New York, NY 10032-3720 | 2018-03-27 |
| 1548782188 | Jennifer Keiko Fong | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2017-07-14 |
| 1699225045 | Jennifer Fong | Occupational Therapist | 3903 Harrison Blvd, 400, Ogden, UT 84403-2314 | 2016-10-10 |
| 1235385493 | Jennifer Melissa Fong | Dentist | 333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621 | 2008-08-07 |
| 1912104522 | Jennifer Song Fong | Nurse Practitioner | 3415 Bainbridge Ave, Childrens Hospital of Montefiore, Bronx, NY 10467 | 2007-06-27 |
| 1720102106 | Jennifer Alicia Fong | Dentist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-03-19 |
| 1922141043 | Jennifer Lee Fong | Chiropractor | 2414 14th St, Sacramento, CA 95818-2209 | 2007-02-15 |
| 1295703023 | Jennifer Lynn Fong | Optometrist | 1689 Arden Way, #1091, Sacramento, CA 95815-4030 | 2006-03-09 |
| Street Address |
1620 PENNSYLVANIA AVE SUITE A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074814 | Solano After Hours Medical Clinic Inc. | Family Medicine | 1620 Pennsylvania Ave, Ste C, Fairfield, CA 94533-3551 | 2006-02-28 |
| 1568801918 | Adventist Health Physicians Network | Clinic/Center | 1620 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3551 | 2013-06-19 |
| 1548595309 | Dasari Medical Corporation | Clinic/Center | 1620 Pennsylvania Ave, D, Fairfield, CA 94533-3551 | 2009-10-13 |
| 1093950040 | Seturam Pandurangi Md A Profession Corporation | Allergy & Immunology | 1620 Pennsylvania Ave, # B, Fairfield, CA 94533-3551 | 2008-12-04 |
| 1609078377 | Giang Hong Duc Son | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3509 | 2007-06-04 |
| 1316032907 | Seturam Pandurangi | Allergy & Immunology | 1620 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3551 | 2006-10-03 |
| 1790887974 | Northbay Podiatric Medical Grp Inc | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3509 | 2006-09-01 |
| 1114965258 | Rebekah O Ayodele | Family Medicine | 1620 Pennsylvania Ave, Suite C, Fairfield, CA 94533-3551 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144539081 | Michael Raymond Kiehl | Podiatrist | 1260 Nilles Rd Bldg A1, Fairfield, OH 45014-7221 | 2010-09-27 |
| 1891188736 | Amarjit Singh Chhatwal | Podiatrist | 2321 Black Rock Tpke, Fairfield, CT 06825-3220 | 2015-03-17 |
| 1538570353 | Centers for Foot & Ankle Care LLC | Podiatrist | 1260 Nilles Rd, Bldg A1, Fairfield, OH 45014-7221 | 2014-05-14 |
| 1992123384 | Camilla Willson | Podiatrist | 1620 Pennsylvania Ave Ste A, Fairfield, CA 94533-3509 | 2014-04-02 |
| 1558687079 | Debbie Sith Calica | Podiatrist | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2010-04-08 |
| 1568698009 | Kimberly J Curesky | Podiatrist | 1881 Post Rd, Fairfield, CT 06824-5721 | 2009-06-10 |
| 1316197783 | Jossie Saramma Abraham | Podiatrist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2008-09-23 |
| 1982851549 | Kevin Michael Miller | Podiatrist | 2500 Hilborn Rd, Fairfield, CA 94534-1097 | 2008-08-25 |
| 1861672537 | Eugene Sherwood Dpm, Inc. | Podiatrist | 1260 Nilles Rd, Fairfield, OH 45014-7221 | 2007-11-09 |
| 1598833683 | Jeffery Allen Best | Podiatrist | 2321 Black Rock Tpke, Fairfield, CT 06825-3220 | 2006-11-30 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on JENNIFER K FONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.