Shirley Fong Ting, M. B.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A43758 Issued in CA

Practice address

10050 Imperial Ave
Cupertino, CA 95014-5905

Phone

(408) 865-0936

Fax

(408) 865-0976

NPI assigned

Jul 19, 2006

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

Other names 1

• Dr. Fong Ting Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306866033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 VINEYARD DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940247261",
            "telephone_number": "650-691-9608",
            "fax_number": "650-691-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 IMPERIAL AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145905",
            "telephone_number": "408-865-0936",
            "fax_number": "408-865-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "SHIRLEY",
        "middle_name": "FONG",
        "name_prefix": "Dr.",
        "credential": "M. B.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A43758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FONG",
            "last_name": "TING",
            "prefix": "DR.",
            "credential": "M.B.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatrics Physician in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.