Latisha Antoinette Fong

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

980 Florin Rd
Sacramento, CA 95831-3515

Phone

(916) 422-7202

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • West Sacramento, CA
  • NPI 1821010950
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1265133300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313515",
            "telephone_number": "916-422-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313515",
            "telephone_number": "916-422-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 W Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956912719",
            "country_code": "US",
            "telephone_number": "916-371-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "LATISHA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Ngit Ngo Fong, P. T.
• Grant Russell Fong, DDS
• Jennifer Lee Fong, D.C., L.AC
• Jennifer Lynn Fong, O.D.
• Kimberly Ann Fong, D.D.S.
• Leslie Thomas Fong, D.D.S.
• Lindsay Michelle Fong, D.M.D.
• Makenzie Fong, MS
• Manchiem Sherry Fong
• Marisa Fong

• Pharmacy Technician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.