Individual provider Active NPI

Arley Fong, LMFT

  • Marriage & Family Therapist
  • Pleasanton, CA
National Provider Identifier
1154795938
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90329 Issued in CA
Practice address
4456 Black Ave Ste 200
Pleasanton, CA 94566
Phone
(925) 588-3511
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90329 CA Primary

Addresses

Primary practice location

4456 Black Ave Ste 200
Pleasanton, CA 94566

Mailing address

4456 Black Ave Ste 200
Pleasanton, CA 94566-6116
Phone (925) 588-3511

Other practice location 1

326 S L St
Livermore, CA 94550-4412
Phone (925) 588-3511

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

LicenseStateTypeSpecialty
90329CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1154795938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4456 BLACK AVE STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666116",
            "telephone_number": "925-588-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4456 BLACK AVE STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94566",
            "telephone_number": "925-588-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 S L St",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945504412",
            "country_code": "US",
            "telephone_number": "925-588-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "ARLEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.