NPIMap

Organization Active NPI

Minch K. Fong M.D. Inc.

  • Hematology & Oncology Physician
  • Mission Viejo, CA
National Provider Identifier
1629307665
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G78910 Issued in CA
Legal business name
MINCH K. FONG M.D. INC.
Practice address
26691 Plaza
Ste. 200
Mission Viejo, CA 92691-6329
Phone
(949) 347-0600
Fax
(949) 347-0746
NPI assigned
Dec 22, 2009
Organization subpart
Yes
Parent organization
MINCH K. FONG M.D. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Ms. Emina Weaver
Title
Business Manager
Phone
(949) 770-8168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X G78910 CA Primary

Addresses

Primary practice location

26691 Plaza
Ste. 200
Mission Viejo, CA 92691-6329

Mailing address

24953 Paseo de Valencia
#25 B
Laguna Hills, CA 92653-4342
Phone (949) 770-8168

Other identifiers 1

IdentifierTypeStateIssuer
00G789100MedicaidCA

Other names 1

  • Minch K. Fong M.D. Other name

National Provider Directory

National Provider Directory
Part of
Minch K Fong M D Inc

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1629307665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "#25 B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-770-8168",
            "fax_number": "949-770-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA",
            "address_2": "STE. 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916329",
            "telephone_number": "949-347-0600",
            "fax_number": "949-347-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINCH K. FONG M.D. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINCH K. FONG M.D. INC.",
        "enumeration_date": "2009-12-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "EMINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "949-770-8168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G78910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G789100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minch K. Fong M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.