Active NPI
Jenny Fong, RDN
- Rehabilitation Practitioner
- Campbell, CA
National Provider Identifier
1285593152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541 - Phone
- (800) 913-2615
- NPI assigned
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541
Mailing address
3141 Stevens Creek Blvd # 40281
San Jose, CA 95117-1141
Phone (408) 758-8320
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1285593152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 STEVENS CREEK BLVD # 40281",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171141",
"telephone_number": "408-758-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950085541",
"telephone_number": "800-913-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "JENNY",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-16",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.