Laurena Nelly Dongmo Fotsing

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A183988 Issued in CA

Practice address

365 Tuolumne St
Vallejo, CA 94590-5700

Phone

(707) 553-5509

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldongmofotsing686347@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  CA

  Medicare reassignment Care Compare group NPD
• Mountain Valleys Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bieber, CA
  • NPI 1356438261

  CA

  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  Care Compare group NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
  • NPI 1063887883
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
  • NPI 1083949341
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Davis, CA
  • NPI 1174858435
  Care Compare group
• Sutter Valley Medical Foundation

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1205150356
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Auburn, CA
  • NPI 1225363567
  Care Compare group
• Sutter Valley Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Modesto, CA
  • NPI 1346615150
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
  • NPI 1356716179
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
  • NPI 1417810003
  Care Compare group
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Yuba City, CA
  • NPI 1447484829
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1003433699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921187",
            "telephone_number": "707-638-5285",
            "fax_number": "707-638-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905700",
            "telephone_number": "707-553-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONGMO FOTSING",
        "first_name": "LAURENA",
        "middle_name": "NELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A183988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascela Regala Dominguez, DISPENSING OPTICIAN
• Ma.Angela Perez Dominguez
• Mariah Lupe Dominguez
• Mark Kenneth Domke, RKT
• Jillian April Napeek Domogan
• Timothy Walter Donlin, RADT, SUDRC
• Jennifer Sue Doran, RN, PHN
• Ana Dorsett, RRT
• Stephanie Dorsey
• Deanna M Douglas, ASW

• All providers in Vallejo, CA
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.