Karen Fong

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

63950 Issued in CA

Practice address

4000 Dublin Blvd Ste 100
Dublin, CA 94568-3122

Phone

(925) 939-8585

NPI assigned

Sep 5, 2022

Last updated

Mar 8, 2024By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karen.fong.p1@direct.muirortho.nextgenshare.com
• Direct secure messaging: karen.fong.p2@direct.muirortho.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North East Medical Services

  dba North East Medical Services - Stockton

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1518911304
  Medicare reassignment Care Compare group NPD (past)
• North East Medical Services

  dba North East Medical Services - 1422 Noriega

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1275017691
  NPD
• North East Medical Services

  dba NEMS - Story Road Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
  • NPI 1902616279
  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1457004897
  NPD (past)

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1528789047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-939-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DUBLIN BLVD STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683122",
            "telephone_number": "925-939-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "63950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuana Fobar
• Susan M Fochler, P.A.
• Zoey Fogerty
• Michael Foglesong
• Chin Lung Fong, LCSW
• Lai Sun Fong
• Debbie Fonseca
• Brandon Forbes
• Carlos Forcadilla
• Raven Ford

• Surgical Physician Assistant in Dublin, CA
• Providers in Dublin, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.