DR. PETER FONG (NPI# 1598169534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598169534 |
| Entity Type | Individual |
| Full Name | DR. PETER FONG |
| Practice Address |
2 Civic Center Dr., #4429 San Rafael CA 94913-4429 |
| Practice Telephone | 4153200569 |
| Mailing Telephone | 4153200569 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40817 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154312312 | Peter Edward Fong | Anesthesiology | 106 Allen St, Cumming, GA 30040-2602 | 2005-11-04 |
| 1821627514 | Peter Fong | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 | 2020-04-03 |
| 1023352689 | Peter Fong | Optometrist | 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 | 2012-11-20 |
| 1215217781 | Peter S Fong | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2011-08-27 |
| 1073791265 | Peter Fong | Pharmacist | 11110 Flatlands Ave, Brooklyn, NY 11207-8234 | 2008-02-10 |
| Street Address |
2 CIVIC CENTER DR., #4429 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94913-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396125308 | Delinda J Fong | Dentist | 2 Civic Center Dr., #4429, San Rafael, CA 94913-4429 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811045982 | Marin County Office of Education | Local Education Agency (LEA) | 1111 Las Gallinas Ave, San Rafael, CA 94913-4925 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748292 | Roy C Solitana | Nurse Practitioner | 1545 4th St Apt 1, San Rafael, CA 94901-2744 | 2020-10-21 |
| 1063019073 | Denise Angela Joan Mitchell | Massage Therapist | 131 Roundtree Blvd, San Rafael, CA 94903-1639 | 2020-10-02 |
| 1962011551 | Madrona Hospice Care Inc | Hospice Care, Community Based | 185 N Redwood Dr Ste 110, San Rafael, CA 94903-1973 | 2020-07-29 |
| 1891304895 | Argie Gulapa Vila | Nurse Practitioner | 175 N Redwood Dr Ste 285, San Rafael, CA 94903-1972 | 2020-07-24 |
| 1770191538 | Deirdre Ann Martinez | Student in an Organized Health Care Education/Training Program | 66 Oxford Dr, San Rafael, CA 94903-2887 | 2020-07-17 |
| 1700404977 | Top Drawer Health Inc. | Nurse Practitioner | 244 Humboldt St, San Rafael, CA 94901-1025 | 2020-07-14 |
| 1386269660 | Heartwood House LLC | Clinic/Center | 8 Circle Rd, San Rafael, CA 94903-3821 | 2020-06-11 |
| 1043833841 | Kevin Nasre | Student in an Organized Health Care Education/Training Program | 103 Gable Ct, San Rafael, CA 94903-5208 | 2020-05-27 |
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1285256081 | Aloizio Veronico Costa | Driver | 1435 4th St, San Rafael, CA 94901-2847 | 2020-05-14 |
| Find all providers in SAN RAFAEL | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791890 | A Mola Dds Apc | Dentist | 1050 Northgate Dr Ste 505, San Rafael, CA 94903-2542 | 2018-08-28 |
| 1598272890 | Emma Abramyan | Dentist | 361 3rd St Ste H, San Rafael, CA 94901-3580 | 2018-01-08 |
| 1669802435 | Pacific Dental Group | Dentist | 1523 5th Ave, San Rafael, CA 94901-1806 | 2013-11-15 |
| 1154669190 | Chase Kotula Dental Partnership | Dentist | 4050 Redwood Hwy, Suite A, San Rafael, CA 94903-5149 | 2013-01-25 |
| 1740504059 | Peter Zahedi I | Dentist | 905 Lincoln Ave, San Rafael, CA 94901-3331 | 2010-03-16 |
| 1336378710 | Emad S. Elgendy | Dentist | 211 G St Apt 7, San Rafael, CA 94901-1834 | 2009-07-07 |
| 1184881195 | Kirby Man Yin Yee | Dentist | 912 Grand Ave Ste 101, San Rafael, CA 94901-3552 | 2008-05-19 |
| 1578777918 | Peter Fong, Dds, Inc. | Dentist | 1050 Northgate Dr Ste 139, San Rafael, CA 94903-2559 | 2007-05-09 |
| 1295955409 | Theodore Carle Schwarftz | Dentist | 630 Freitas Parkway, San Rafael, CA 94903 | 2007-04-27 |
| 1639398092 | Steven S Chase | Dentist | 4050 Redwood Hwy Ste A, San Rafael, CA 94903-5149 | 2007-04-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94913 |
Please comment or provide details below to improve the information on DR. PETER 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.