Individual provider Active NPI

Sophia Fong

  • Physician Assistant
  • Alhambra, CA
National Provider Identifier
1578853180
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21424 Issued in CA
Practice address
103 N Garfield Ave Ste G
Alhambra, CA 91801-3578
Phone
(626) 800-1230
Fax
(626) 576-2352
NPI assigned
Apr 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21424 CA Primary

Addresses

Primary practice location

103 N Garfield Ave Ste G
Alhambra, CA 91801-3578

Mailing address

103 N Garfield Ave
Alhambra, CA 91801-3555
Phone (626) 800-1230

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110627000395 CA Practitioner - Physician Assistant 6709064504 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onyx Medical Group IncGroup PAC ID 3870016579, 11 clinicians
St. John'S Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

13443 Telegraph Rd
Whittier, CA 90605-3435
Phone (951) 346-0041

5701 S Hoover St
Los Angeles, CA 90037-4045
Phone (323) 541-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
24121CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Community Health Center, Inc. CurrentSince Aug 23, 2016 Accepting new patients
St. Johns Community Health CurrentSince Sep 22, 2023 Accepting new patients
St. Johns Community Health CurrentSince Sep 22, 2023 Accepting new patients

Locations

1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088

420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1578853180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013555",
            "telephone_number": "626-800-1230",
            "fax_number": "626-576-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE STE G",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013578",
            "telephone_number": "626-800-1230",
            "fax_number": "626-576-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.