Hanlon Joe Fong, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G32167 Issued in CA

Practice address

2000 Van Ness Ave
Suite 605
San Francisco, CA 94109-3023

Phone

(415) 441-6120

Fax

(415) 441-3858

NPI assigned

Nov 25, 2005

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: hanlon.fong@14883721641988.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regents of the University of California

  dba UCSF Department of Medicine Rheumatology

  • Rheumatology Physician
  • San Francisco, CA
  • NPI 1881763597
  NPD (past)
• UCSF Medical Group Business Services

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1477624104
  NPD (past)
• University of California San Francisco Medical Center

  dba UCSF Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1144325440
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1184607970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "SUITE 605",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-441-6120",
            "fax_number": "415-441-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "SUITE 605",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-441-6120",
            "fax_number": "415-441-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "HANLON",
        "middle_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32167",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G32167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG321670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Fong, DPM
• Dean Fong, DO
• Donald Fong, MD
• Gary Fong
• Gigi Fong
• James Kuo Fong, D.D.S.
• Jamie Caroline Fong, MS, CGC
• Janice Fong, O. D.
• Jeffrey S. Fong, MD
• Jeni Fong

• Nephrology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.