Individual provider Active NPI

Ronald L. Fong, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1073599726
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72453 Issued in CA
Practice address
3941 J St Ste 354
Sacramento, CA 95819-3633
Phone
(916) 733-6870
Fax
(888) 975-7611
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G72453 CA Primary

Addresses

Primary practice location

3941 J St Ste 354
Sacramento, CA 95819-3633

Mailing address

3941 J St Ste 354
Sacramento, CA 95819-3633
Phone (916) 733-6870

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100804000783 CA Practitioner - Family Practice 2466585955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72453CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chest Infectious Diseases & Critical Care Consultants Group Inc CurrentSince Feb 1, 2019 Accepting new patients

Locations

3941 J St
Ste 354
Sacramento, CA 95819
Phone (916) 733-6870

7311 Greenhaven Dr
Ste 165
Sacramento, CA 95831
Phone (916) 733-6870

7311 Greenhaven Dr
Ste 145
Sacramento, CA 95831
Phone (916) 228-4300

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1073599726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST STE 354",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193633",
            "telephone_number": "916-733-6870",
            "fax_number": "888-975-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST STE 354",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193633",
            "telephone_number": "916-733-6870",
            "fax_number": "888-975-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "RONALD",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.