Terry A Fong, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND1141 Issued in CA

Practice address

26700 Towne Centre Dr Ste 115
Foothill Ranch, CA 92610-2843

Phone

(949) 844-7374

Fax

(949) 272-5847

NPI assigned

May 8, 2007

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Terry A Fong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1043423916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1318",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958121318",
            "telephone_number": "949-844-7374",
            "fax_number": "949-272-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 115",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102843",
            "telephone_number": "949-844-7374",
            "fax_number": "949-272-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "TERRY",
        "middle_name": "A",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "11-1271",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "HI",
            "license": "ND301",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "FONG",
            "middle_name": "A",
            "credential": "NMD, OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eye Care West Optometry Oc
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• Carleton Scott Fong, O.D.
• Foothill Ranch Eye Care
• Foothill Ranch Surgi-Center
• Robin Chester Fraser, LCSW
• Grace Elizabeth Fritts
• Brandon Funai, DPT

• Naturopath in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.