Active NPI
Natalie Fong, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC50885
- Practice address
- 515 Columbia Ave # 200
Los Angeles, CA 90017-1209 - Phone
- (213) 249-9388
- Fax
- (213) 389-7993
- NPI assigned
- Mar 19, 2007
- Last updated
- Dec 2, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC50885 | CA | Primary |
Addresses
Primary practice location
515 Columbia Ave # 200
Los Angeles, CA 90017-1209
Mailing address
515 Columbia Ave # 200
Los Angeles, CA 90017-1209
Phone (213) 249-9388
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
219 Camden CT
Claremont, CA 91711-2759
520 S la Fayette Park PL FL
Suite 3
Los Angeles, CA 90057-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC50885 | CA | MD | Marriage & Family Therapist |
| 50855 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients |
Locations
1968 W Adams Blvd
Ste 101106
Los Angeles, CA 90018
Phone (323) 731-3534
905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800
Organizations & group practices 3
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.
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1952442949
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1811028863
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1588788988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 COLUMBIA AVE # 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171209",
"telephone_number": "213-249-9388",
"fax_number": "213-389-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COLUMBIA AVE # 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171209",
"telephone_number": "213-249-9388",
"fax_number": "213-389-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "NATALIE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2020-12-02",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC50885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.