Active NPI
Emily Fonda, MD MMM
- Specialist
- Orange, CA
National Provider Identifier
1033532254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G42852
- Practice address
- 505 City Pkwy W
Orange, CA 92868-2924 - Phone
- (949) 939-2885
- NPI assigned
- Jan 23, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G42852 | CA | Primary |
Addresses
Primary practice location
505 City Pkwy W
Orange, CA 92868-2924
Mailing address
222 Via Koron
Newport Beach, CA 92663-4913
Phone (949) 939-2885
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42852 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1033532254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 VIA KORON",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634913",
"telephone_number": "949-939-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 CITY PKWY W",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682924",
"telephone_number": "949-939-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONDA",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "MD MMM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G42852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.