Brian D Fong (NPI# 1033141676, PAC ID# 2163497199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033141676 |
| PAC ID by PECOS | 2163497199 |
| Professional Enrollment ID | I20040901000637 |
| Full Name | Brian D Fong |
| Organization Legal Name | ST JUDE EMERGENCY MEDICAL GROUP INC |
| Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3800 |
| Phone Number | 7148713280 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8224923479 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050191 | ST MARY MEDICAL CENTER |
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 | 7148713280 | ST JUDE EMERGENCY MEDICAL GROUP INC |
| Organization Legal Name | ST JUDE EMERGENCY MEDICAL GROUP INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soheil Nafeei | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Scott A Wang | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Leonard Y Herman | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Jai H Ho | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Michael S Kulczycki | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Mark Stuart Louden | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Donald J Greco | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Street Address |
101 E VALENCIA MESA DR |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiho Woo | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Pius Jin Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Hao Q Ngo | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| John B Maccarthy | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Soheil Nafeei | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Jae K Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Jim Nguyen | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Phillip Unger | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Scott A Wang | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Bradley A Jackson | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FULLERTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brian D Fong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.