Leo L. Fong, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G79576 Issued in CA

Practice address

3120 Willow Ave Ste 101
Clovis, CA 93612-4714

Phone

(559) 721-4910

Fax

(559) 721-4920

NPI assigned

Aug 30, 2006

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

Tufts University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
• Valley Home Health Home health agency, Fresno, CA, CCN 059227
• Dignity Home Health Care Home health agency, Fresno, CA, CCN 559417
• One Good Homehealth Inc. Home health agency, Madera, CA, CCN 757064
• Sequoia Home Health, Inc Home health agency, Clovis, CA, CCN 059382
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as group

Quality

76.71

Promoting interoperability

100

Improvement activities

40

Cost

74

Merit-based Incentive Payment System (MIPS)

Final score

23.72 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJIHBD/Endpoint/BJIHBD

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.

• Leo L Fong Corporation

  dba Central Valley Vein and Wound Center

  • Vascular Surgery Physician
  • Clovis, CA
  • NPI 1235609413
  Medicare reassignment NPD
• Blue Line Medical Corp

  • Vascular Surgery Physician
  • Clovis, CA
  • NPI 1750015616
  Authorized official Same address or phone
• Axis Physical Therapy

  dba Axis Physical Therapy, Inc.

  • Physical Therapist
  • Salinas, CA
  • NPI 1316966344
  NPD (past)
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)
• Motion Physical Therapy and Rehab Inc

  • Orthopedic Physical Therapist
  • Stockton, CA
  • NPI 1487109674
  NPD (past)
• University Faculty Associates, Inc.

  • Emergency Medicine Physician
  • Fresno, CA
  • NPI 1235537283
  NPD (past)
• Charles B Moomey Jr MD

  • Vascular Surgery Physician
  • Lawrenceville, GA
  • NPI 1902003841
  NPD (past)
• Northside Hospital, Inc.

  dba Northside Hospital Gwinnett

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  NPD (past)
• Wallace F. Martin, M.D.

  • Surgery Physician
  • Lawrenceville, GA
  • NPI 1124225065
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Home Health Care

  • Home Health Agency
  • Fresno, CA
  • NPI 1467017061
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Omnia Healthcare LLC

  • Home Health Agency
  • Clovis, CA
  • NPI 1154748465
  Care Compare affiliation
• One Good Homehealth Inc.

  • Home Health Agency
  • Clovis, CA
  • NPI 1598389892
  Care Compare affiliation
• Reedley Community Hospital

  dba Adventist Health Reedley

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation
• Sequoia Home Health Inc

  • Home Health Agency
  • Clovis, CA
  • NPI 1518277102
  Care Compare affiliation
• Valley Medical Systems, Inc.

  dba Valley Home Health

  • Home Health Agency
  • Fresno, CA
  • NPI 1952434185
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1215047659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 WILLOW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124714",
            "telephone_number": "209-613-2927",
            "fax_number": "209-538-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WILLOW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124714",
            "telephone_number": "559-721-4910",
            "fax_number": "559-721-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "LEO",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G79576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashaunda Floyd, LVN
• Fogg Remington Eyecare, Inc.
• Fogg Remington Eyecare, Inc.
• Stephanie M Folgar Jimenez
• Marcel Fomotar, CRNP-PMH
• Footsteps Behavioral Health Corporation (Footsteps Behavioral Health)
• Footsteps, a Licensed Clinical Social Worker Corporation (Footsteps)
• Scott Christopher Ford, MD
• Foreno Inc (Medicine Shoppe)
• George Randall Forrester, DC

• Vascular Surgery Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.