Active NPI
Kai Fong
- Pharmacist
- San Leandro, CA
National Provider Identifier
1083288443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH83163
- Practice address
- 1919 Davis St
San Leandro, CA 94577-1231 - Phone
- (510) 569-9000
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH83163 | CA | Primary |
Addresses
Primary practice location
1919 Davis St
San Leandro, CA 94577-1231
Mailing address
1919 Davis St
San Leandro, CA 94577-1231
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 |
|---|---|---|---|
| RPH83163 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1083288443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 DAVIS ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 DAVIS ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771231",
"telephone_number": "510-569-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "KAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH83163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.