NPIMap

Organization Active NPI

Kathy Fang, MD, PHD, Inc.

  • Specialist
  • El Cerrito, CA
National Provider Identifier
1447370853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2671158 Issued in CA
Legal business name
KATHY FANG, MD, PHD, INC.
Practice address
118 Plaza Professional Building
El Cerrito, CA 94530
Phone
(510) 524-0224
Fax
(510) 524-0215
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathy Fang, M.D.NPI 1467422550
Title
MD, PHD
Phone
(510) 524-0224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2671158 CA Primary

Addresses

Primary practice location

118 Plaza Professional Building
El Cerrito, CA 94530

Mailing address

118 Plaza Professional Building
El Cerrito, CA 94530
Phone (510) 524-0224

National Provider Directory

National Provider Directory

Locations

400 Evelyn Ave
Ste 118
Albany, CA 94706
Phone (510) 524-0224

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447370853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PLAZA PROFESSIONAL BUILDING",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-524-0224",
            "fax_number": "510-524-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PLAZA PROFESSIONAL BUILDING",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-524-0224",
            "fax_number": "510-524-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY FANG, MD, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MD, PHD",
        "authorized_official_telephone_number": "510-524-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "2671158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.