Active NPI
Mary Fong, L.AC., Q.M.E.
- Acupuncturist
- Solana Beach, CA
National Provider Identifier
1487731618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 5989
- Practice address
- 243 N Highway 101
Suite #5
Solana Beach, CA 92075-1180 - Phone
- (760) 753-6363
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 5989 | CA | Primary |
Addresses
Primary practice location
243 N Highway 101
Suite #5
Solana Beach, CA 92075-1180
Mailing address
3469 Circulo Adorno
Carlsbad, CA 92009-8908
Phone (760) 753-6363
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 |
|---|---|---|---|
| AC 5989 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487731618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3469 CIRCULO ADORNO",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920098908",
"telephone_number": "760-753-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 N HIGHWAY 101",
"address_2": "SUITE #5",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920751180",
"telephone_number": "760-753-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "L.AC., Q.M.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 5989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solana Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.