Dennis Yunming Fong, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G83720 Issued in CA

Practice address

108 La Casa Via
Suite 104
Walnut Creek, CA 94598

Phone

(925) 934-2333

Fax

(925) 934-2688

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dennis.fong@4915204.direct.elationemr.com
• Direct secure messaging: dennis.fong@706901454159876.direct.elationemr.com

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1356364871",
    "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": {
        "last_name": "FONG",
        "first_name": "DENNIS",
        "middle_name": "YUNMING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G82720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G83720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "G83720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Nichole Folta, PA-C
• Brenda Kay Fonacier, REGISTERED DIETITIAN
• Audrey Fong, PHARM.D.
• Barry Fong
• Bryan Philip Fong, MD
• Jeannie Fong, PHARMD
• Jeffrey Fong, PHARMD
• Karen Fong
• Karen Jean Fong, MD
• Katherine J. Fong, 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 Mar 22, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.