Connie Fong, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95031110 Issued in CA

Practice address

1505 Via Palermo
Montebello, CA 90640-1835

Phone

(626) 348-3895

NPI assigned

Oct 8, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1487473294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 VIA PALERMO",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401835",
            "telephone_number": "626-348-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 VIA PALERMO",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401835",
            "telephone_number": "626-348-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "CONNIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95031110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Ferrell
• Claudia Ferrer, PA
• First Choice Physician Partners
• Hector Flores, M.D.
• Monica Yadira Flores, BSW
• Susan T Fong, PHARM. D.
• Anthony Fonseca Jr.
• Richard Brian Foulkes, M.D,
• Sidney Friedman, M.D.
• Kharina Beatriz Frisancho, SPA 750

• Family Nurse Practitioner in Montebello, CA
• Providers in Montebello, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.