Active NPI
Diane Angela Fong
- Naturopath
- Los Altos, CA
National Provider Identifier
1023429859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND656
- Practice address
- 5050 El Camino Real
Ste 110
Los Altos, CA 94065 - Phone
- (650) 964-6700
- Fax
- (650) 964-3495
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND656 | CA | Primary |
Addresses
Primary practice location
5050 El Camino Real
Ste 110
Los Altos, CA 94065
Mailing address
16 Portofino Cir
Redwood City, CA 94065-1341
Phone (917) 613-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND656 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naturalstart Naturopathic Family Medicine, Inc. | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Naturopath
- Los Altos, CA
- NPI 1205220837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1023429859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PORTOFINO CIR",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940651341",
"telephone_number": "917-613-6440",
"fax_number": "650-964-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 EL CAMINO REAL",
"address_2": "STE 110",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94065",
"telephone_number": "650-964-6700",
"fax_number": "650-964-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "DIANE ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.