DR. JENNIFER MELISSA FONG (NPI# 1235385493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235385493 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MELISSA FONG |
| Credential | DDS |
| Practice Address |
333 Gellert Blvd Suite #242 Daly City CA 94015-2621 |
| Practice Telephone | 6507573636 |
| Mailing Telephone | 6507573636 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
57333 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
57333 | CA | Dental 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 |
| 1114256955 | Jennifer K Fong | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3551 | 2009-12-07 |
| 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 |
333 GELLERT BLVD SUITE #242 |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156100 | Gerlita Q. Pangilinan | Dentist | 333 Gellert Blvd, Ste. 203, Daly City, CA 94015-2621 | 2006-03-03 |
| 1871074476 | Calvin Cheng | Occupational Therapist | 333 Gellert Blvd, Daly City, CA 94015-2621 | 2018-08-22 |
| 1972038198 | Anikka L Goodman | Counselor | 333 Gellert Blvd, Daly City, CA 94015-2621 | 2017-04-25 |
| 1821494378 | Rowshan Ahani | Dentist | 333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621 | 2014-11-11 |
| 1477976835 | Jessica Nicole Bowmer | Counselor | 333 Gellert Blvd, Suite 206, Daly City, CA 94015-2621 | 2014-01-21 |
| 1801225511 | Laurel Tam | Registered Nurse | 333 Gellert Blvd, Suite 229, Daly City, CA 94015-2621 | 2013-11-03 |
| 1417233859 | Karissa Mai Jun Yee | Physical Therapist | 333 Gellert Blvd, Suite 150, Daly City, CA 84015 | 2011-10-31 |
| 1326323635 | Joanne Patricia Joyner | Physical Therapist | 333 Gellert Blvd, Suite 150, Daly City, CA 94015-2621 | 2011-10-18 |
| 1164702486 | Khristine Jamoralin Quibilan | Marriage & Family Therapist | 333 Gellert Blvd, Suite 206, Daly City, CA 94015-2621 | 2011-08-17 |
| 1578842183 | Daniel Ramos | Speech-Language Pathologist | 333 Gellert Blvd, Suite 150, Daly City, CA 94015-2621 | 2011-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578623815 | Marshall John Michaelian | Dentist | 341 Gellert Blvd Ste C, Daly City, CA 94015-2616 | 2006-12-09 |
| 1578012027 | Michaelian Endodontic Dental Group Inc | Dentist | 341 Gellert Blvd Ste C, Daly City, CA 94015-2616 | 2016-09-26 |
| 1821494378 | Rowshan Ahani | Dentist | 333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621 | 2014-11-11 |
| 1386804219 | Radhika Tandon | Dentist | 341 Gellert Blvd Ste C, Daly City, CA 94015 | 2008-06-13 |
| 1013113497 | Rowshan Ahani, D.d.s., M.s., Inc. | Dentist | 333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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| 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.