DR. KENTON D FONG


Address: 845 Jackson St, San Francisco, CA 94133-4899
Phone: 4159822400

DR. KENTON D FONG (NPI# 1932388444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932388444
Entity Type Individual
Full Name DR. KENTON D FONG
Credential MD
Practice Address 845 Jackson St
San Francisco
CA 94133-4899
Mailing Address 1238 12th Ave Apt 4
San Francisco
CA 94122-2235
Practice Telephone 4159822400
Mailing Telephone 6507996298
Enumeration Date 2007-10-31
Last Update Date 2019-09-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery A93721 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE A93721 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1520 Stockton St, San Francisco, CA 941333354 4153919686

Office Location

Street Address 845 JACKSON ST
City SAN FRANCISCO
State CA
Zip Code 94133-4899

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427045681 Samuel C Hui Pharmacist 845 Jackson St, San Francisco, CA 94133-4851 2005-10-03
1033745070 Mary Wang Dietitian, Registered 845 Jackson St, San Francisco, CA 94133-4851 2020-03-22
1437611936 California Emergency Associates, A California Medical Corporation Physician Assistant 845 Jackson St, San Francisco, CA 94133-4851 2019-04-03
1487148425 Sunshine Medical, Inc Anesthesiology 845 Jackson St, San Francisco, CA 94133-4851 2018-06-21
1831691633 Jiami Wu Health Educator 845 Jackson St, San Francisco, CA 94133-4851 2018-03-07
1982104162 San Francisco Unified Physicians Group, Inc. Hospitalist 845 Jackson St, San Francisco, CA 94133-4851 2018-02-14
1639692635 Dong Zhao Pharmacist 845 Jackson St, San Francisco, CA 94133-4851 2017-07-21
1487188868 Contra Costa Pathology Associates Pathology 845 Jackson St, San Francisco, CA 94133-4851 2017-04-12
1235675463 Wey Ling Phuah Pharmacist 845 Jackson St, San Francisco, CA 94133-4851 2017-01-11
1598110686 Namphuong Tran Internal Medicine 845 Jackson St, San Francisco, CA 94133-4851 2016-04-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073176558 Stephanie Quach Pharmacist 845 Jackson Street (pharmacy), San Francisco, CA 94133 2019-04-19
1235474610 Discover Health Medical Partners Inc Naturopath 990 Columbus Avenue, San Francisco, CA 94133 2012-12-11
1891092490 Qiang Zhu Acupuncturist 367 Bay Street, San Francisco, CA 94133 2011-02-16
1619284676 Kathy Mei Nurse Practitioner 835 Jackson St Mob, #329, San Francisco, CA 94133 2010-09-10
1346467040 Rebecca Helen Wakefield Physical Therapist 2140 Taylor St, Apt 905, San Francisco, CA 94133 2007-04-20
1598897191 Ross William Graham Chiropractor 802 Montgomery St, San Francisco, CA 94133 2007-03-09
1265573620 Julie K. Tse Nurse Practitioner 1490 Mason Street, Chinatown Public Health Center, San Francisco, CA 94133 2007-02-09
1285786301 Cornelia Byrne Hoppe Marriage & Family Therapist 1632 Taylor St #6, San Francisco, CA 94133 2007-01-17
1205904281 Shantala Umashankar Psychiatry & Neurology 939 Jackson Street, Apartment 201, San Francisco, CA 94133 2006-11-30
1467521070 Josephine Mak Family Medicine 818 Jackson Street, Suite 301, San Francisco, CA 94133 2006-11-07
Find all providers in zip 94133

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972008423 Shahin Javaheri Md A Professional Corporation Plastic Surgery 2100 Webster St Ste 502, San Francisco, CA 94115-2381 2018-03-27
1326386590 Albert W. Chow, Md, Inc. Plastic Surgery 1 Daniel Burnham Ct Ste 368c, San Francisco, CA 94109-0470 2013-01-23
1164729927 Chia Jen Chung, Md, Inc. Plastic Surgery 390 Laurel St Ste 205, San Francisco, CA 94118-1953 2011-02-14
1225334873 Kate Buretta Krucoff Plastic Surgery 45 Castro St Ste 121, San Francisco, CA 94114-1019 2011-01-30
1972790699 Sirish Maddali, M.d., Inc. Plastic Surgery 390 Laurel Street, Suite 205, San Francisco, CA 94118-1953 2007-09-26
1023214343 Dellon Institute for Peripheral Nerve Surgery Northern California Plastic Surgery 2345 Balboa St, San Francisco, CA 94121-2912 2007-06-23
1053451518 Jordan C Deschamps-braly Plastic Surgery 360 Post St Ste 901, San Francisco, CA 94108-4988 2007-02-07
1104990316 Rose Mary Jacinta Lewis Plastic Surgery 332 Warren Dr, San Francisco, CA 94131-1034 2006-11-20
1396824835 Andrew Barnett Plastic Surgery 450 Sutter St Rm 1123, San Francisco, CA 94108-3913 2006-11-03
1760573794 Te Ning Chang Plastic Surgery 2250 Hayes St Ste 540, San Francisco, CA 94117-1078 2006-09-27
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Competitor

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City SAN FRANCISCO
Zip Code 94133

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Dataset Information

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.

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