Pau K Fong MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G33418 Issued in CA

Legal business name

PAU K FONG MD INC

Practice address

3939 J Street
Suite #350
Sacramento, CA 95819-3671

Phone

(916) 454-5555

Fax

(916) 454-3754

NPI assigned

Nov 14, 2006

Organization subpart

Yes

Parent organization

PAU K FONG MD INCAs reported in NPPES

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

Authorized official

Name

Dr. Pau Kee Fong, MD

Title

President

Phone

(916) 454-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Pau K Fong MD Inc

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1538231972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 J STREET",
            "address_2": "SUITE #350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193671",
            "telephone_number": "916-454-5555",
            "fax_number": "916-454-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J STREET",
            "address_2": "SUITE #350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193671",
            "telephone_number": "916-454-5555",
            "fax_number": "916-454-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAU K FONG MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAU K FONG MD INC",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "PAU",
        "authorized_official_middle_name": "KEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-454-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G33418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G334180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Henneth Patton, PHD
• Nathanael Patton, BEHAVIOR THERAPIST
• Ralph Tony Patton Jr., REGISTERED STUDENT
• Rashad Ako Patton, MHA III
• Theresa De Jesus Pattugalan, MD
• Paul K. Jo, DDS, Inc.
• Paul M. Chretien MD Inc.
• Drake A Paul, M.D.
• Jane W Paul, PHD
• Kudrat Paul

• Internal Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.