SUSIE X FONG (NPI# 1447549654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447549654 |
| Entity Type | Individual |
| Full Name | SUSIE X FONG |
| Credential | M.D. |
| Practice Address |
15503 Ventura Blvd Ste 170 Encino CA 91436 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 8184618148 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A129474 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
A129474 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15503 Ventura Blvd Ste 340, Encino, CA 914363132 | 8184618148 | |
| 3901 Rainbow Blvd, Ms 2028, Kansas City, KS 661032937 | 9135886245 | 9135886271 |
| Street Address |
15503 VENTURA BLVD STE 170 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114125994 | Sahar Sohrabian | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2007-07-03 |
| 1821331299 | Samantha Wong | Anesthesiology | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2013-04-03 |
| 1265703102 | Ara A Kardashian | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2012-01-24 |
| 1326270422 | Pouyan Famini | Internal Medicine | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2009-08-22 |
| 1346408622 | Carolyn Goh | Dermatology | 15503 Ventura Blvd Ste 170, Encino, CA 91436-3145 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376765883 | Direct Access Medical Group | Internal Medicine | 16661 Ventura Blvd., Suite 604, Encino, AL 91436 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
| 1508215773 | Dr Lisa Shives, Md, PC | Internal Medicine | 1853 Lyndon Rd, San Diego, CA 92103-1644 | 2016-06-08 |
| 1881060499 | Bakersfield Sleep Center | Internal Medicine | 1141 Pacific St Ste F, San Luis Obispo, CA 93401-3307 | 2015-08-18 |
| 1659752798 | Evergreen Sleep Center | Internal Medicine | 2365 Quimby Rd, Suite 210, San Jose, CA 95122-1337 | 2015-06-15 |
| 1073947305 | Advanced Sleep and Gastroenterology Laboratories, Inc | Internal Medicine | 4206 Technology Dr, Suite 2, Modesto, CA 95356-8769 | 2013-08-22 |
| 1558665562 | Puja Anil Thakkar | Internal Medicine | 400 El Cerro Blvd #107, Golden Gate Sleep Centers, Danville, CA 94526-1731 | 2011-01-05 |
| 1770884389 | Justin A. Fu, Md A Medical Corporation | Internal Medicine | 6627 Murrietta Ct, Rancho Cucamonga, CA 91739-9556 | 2010-11-12 |
| 1073746236 | Ravindrachandrashekhar, Md Inc | Internal Medicine | 18523 Corwin Rd Ste C, Apple Valley, CA 92307-2300 | 2009-09-03 |
| 1942447453 | Institute for Sleep Medicine | Internal Medicine | 801 Orange Avenue, Suite 204, Coronado, CA 92118-2663 | 2009-01-21 |
| 1164674248 | Darya Soto Md Inc | Internal Medicine | 100 Rowland Way Ste 300, Novato, CA 94945-5041 | 2008-10-21 |
| Find all providers with the same taxonomy | ||||
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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.