Voy K Fong, DPT
Individual provider Active NPI Physical Therapist · Riverside, CA
NPI 1679579304 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1679579304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT27847 (CA)
- Practice address
- 4343 Market St
Ste a
Riverside, CA 92501-3500 - Phone
- (951) 784-1671
- Fax
- (951) 784-1677
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040820000698 | CA | Practitioner - Physical Therapist in Private Practice | 2961476536 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27847 | CA | MD | Clinical Social Worker |
| PT27847 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Independent Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27847 | CA | Yes |
Addresses
Primary practice location
4343 Market St
Ste a
Riverside, CA 92501-3500
Mailing address
4343 Market St
Ste B
Riverside, CA 92501-3500
Phone (951) 784-1671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT278470 | Other | CA | PIN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Riverside, CA
- Darek Ray Fonder
- Candace Fondren
- Alice L. Fong
- Alvin Fong
- James Fong
- Emelda Makochi Fonki
- Cristian Fonseca
- Marie Therese Fonseca
- Robert Fontanilla
- Cliff Fontelera
All providers in Riverside, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.