Active NPI
Melvin D Fong, DDS
- Dentist
- San Francisco, CA
National Provider Identifier
1043366156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30110
- Practice address
- 2409 Taraval Street
San Francisco, CA 94116-2254 - Phone
- (415) 564-6170
- Fax
- (415) 564-7776
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30110 | CA | Primary |
Addresses
Primary practice location
2409 Taraval Street
San Francisco, CA 94116-2254
Mailing address
2409 Taraval Street
San Francisco, CA 94116-2254
Phone (415) 564-6170
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramirez & Xia Dental Corp. | Dentist | Past | Accepting new patients |
| Ramirez & Xia Dental Corp. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1114651593
-
- Dentist
- San Francisco, CA
- NPI 1952806408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043366156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 TARAVAL STREET",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162254",
"telephone_number": "415-564-6170",
"fax_number": "415-564-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 TARAVAL STREET",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162254",
"telephone_number": "415-564-6170",
"fax_number": "415-564-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "MELVIN",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.