Active NPI
Jessica Fong
- Pharmacist
- San Jose, CA
National Provider Identifier
1083561666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87805
- Practice address
- 2514 Berryessa Rd
San Jose, CA 95132-2947 - Phone
- (408) 272-1431
- NPI assigned
- Mar 12, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 87805 | CA | Primary |
Addresses
Primary practice location
2514 Berryessa Rd
San Jose, CA 95132-2947
Mailing address
2116 Flintmore CT
San Jose, CA 95148-1332
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 |
|---|---|---|---|
| 87805 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1083561666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 FLINTMORE CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951481332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 BERRYESSA RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951322947",
"telephone_number": "408-272-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-12",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.