Pamela J. Fong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7461T Issued in CA

Legal business name

PAMELA J. FONG, O.D.

Practice address

1881 El Camino Real
Burlingame, CA 94010-3220

Phone

(650) 692-1792

Fax

(650) 692-4245

NPI assigned

Aug 22, 2007

Last updated

Sep 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pamela J. Fong, O.D.NPI 1568469161

Title

Owner

Phone

(650) 692-1792

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela J. Fong, O.D.

  • Optometrist
  • Burlingame, CA
  • NPI 1568469161
  Authorized official Same address or phone

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1104019116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103220",
            "telephone_number": "650-692-1792",
            "fax_number": "650-692-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103220",
            "telephone_number": "650-692-1792",
            "fax_number": "650-692-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA J. FONG, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-692-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7461T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacifica Burlingame LP (Pacifica Senior Living Burlingame)
• Cathy Padelford
• Pooja Pal, PT, DPT
• Lindsay Palmer, NP
• Michael Anthony Palmere
• Margaret Pang
• Laureen Paraguya, M.D.
• Jerrica Pardilla
• Kathleen Ann Parrish, MD
• Mary Grace Parungao

• Optometrist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.