Active NPI
Brigitte Fong
- Professional Counselor
- Torrance, CA
National Provider Identifier
1407406325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC10817
- Practice address
- 20695 S Western Ave Ste 132
Torrance, CA 90501-1834 - Phone
- (424) 271-7414
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC10817 | CA | Primary |
Addresses
Primary practice location
20695 S Western Ave Ste 132
Torrance, CA 90501-1834
Mailing address
PO Box 78175
Los Angeles, CA 90016-0175
Phone (323) 632-7826
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC10817 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1407406325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78175",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900160175",
"telephone_number": "323-632-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20695 S WESTERN AVE STE 132",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905011834",
"telephone_number": "424-271-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "BRIGITTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC10817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.