Lordesa Fok, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299209 Issued in CA

Practice address

5000 Airport Plaza Dr Ste 240
Long Beach, CA 90815-1277

Phone

(562) 421-7635

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• Rossmoor Rehabilitation Inc

  • Physical Therapist
  • Seal Beach, CA
  • NPI 1922251073
  Medicare reassignment NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1699373209
  NPD
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1376117994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 AIRPORT PLAZA DR STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AIRPORT PLAZA DR STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151277",
            "telephone_number": "562-421-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOK",
        "first_name": "LORDESA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Flynn
• Christina Flynn
• Faith Eva Fobbs, RRW
• Fobi Medical Group
• Jennifer Elizabeth Foe-Parker, M.D.
• Peter Foldvary, MD
• Elizabeth Ann Foley, MD
• Victoria M Foley, DPM
• Jeanette Masae Fong, MD
• Jennifer Keiko Fong

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.