MR. VINCENT WING CHING FONG (NPI# 1740840396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740840396 |
| Entity Type | Individual |
| Full Name | MR. VINCENT WING CHING FONG |
| Credential | AMFT |
| Practice Address |
2600 S. El Camino Real Suite 200 San Mateo CA 94403 |
| Mailing Address |
3145 Geary Blvd. #423 San Francisco CA 94118 |
| Practice Telephone | 6503724080 |
| Mailing Telephone | 4152956573 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | AMFT97966 | CA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295172617 | Vincent Waishun Fong | Internal Medicine | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2013-05-24 |
| 1205182995 | Vincent Fong | Social Worker | 2521 Stockton Blvd Ste 3110, Sacramento, CA 95817-2207 | 2012-07-31 |
| Street Address |
2600 S. EL CAMINO REAL SUITE 200 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| 1720428709 | Jesse Bryan Weller | Counselor | Caminar / 2600 S. El Camino Real, Ste 200, San Mateo, CA 94403 | 2013-07-05 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679840458 | Noe Chavez Coto | Case Manager/Care Coordinator | 1416 Nadina St, San Mateo, CA 94402 | 2011-11-22 |
| 1851524078 | Trena Lavon Patton | Case Manager/Care Coordinator | 225-37th Avenue, San Mateo, CA 94403 | 2009-09-04 |
| 1023270485 | Christian Rachel Washburn | Case Manager/Care Coordinator | 222 West 39th Ave, San Mateo, CA 94403 | 2008-06-27 |
| 1528667979 | Adeline Rae Mannino | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-10-17 |
| 1376150490 | Aaron Walter | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-09-24 |
| 1811501497 | Alexis Guitron | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-09-01 |
| 1326664301 | Forouzandeh Evotia Hoda | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-06-24 |
| 1275154254 | Pamela Patton | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-05-01 |
| 1609497775 | Ioane Cruz Levi | Case Manager/Care Coordinator | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2020-04-30 |
| 1346861465 | Nadrina Weseman | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-04-29 |
| Find all providers in SAN MATEO | ||||
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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.