Dennis Y. Fong, M.D., Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DENNIS Y. FONG, M.D., PROFESSIONAL CORPORATION

Practice address

108 La Casa Via
Suite 104
Walnut Creek, CA 94598

Phone

(925) 934-2333

Fax

(925) 934-2688

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Yunming Fong, M.D.

Title

Provider

Phone

(925) 934-2333

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1245336809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA",
            "address_2": "SUITE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-934-2333",
            "fax_number": "925-934-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA",
            "address_2": "SUITE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-934-2333",
            "fax_number": "925-934-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS Y. FONG, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "YUNMING",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "925-934-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G83720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald John Dendinger, MPT
• Calvin H. Deng, MD
• Kenneth Joseph Denhard
• Denielle C. Medynski, DMD, Inc
• Denise M. Hilliard, MD Medical Corporation, Inc
• Camille Denton, M.A.
• Stephen John Dentone, O.D.
• Joann Adele Depetro, M.A., MFT
• Agnieszka Depinska, MS, RD
• Derek Jue MD

• Family Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.