Marc Wren Fong, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95000533 Issued in CA

Practice address

400 N Pepper Ave
Colton, CA 92324-1801

Phone

(909) 573-6127

NPI assigned

May 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Loma Linda University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
• Chapman Global Medical Center Hospital, Orange, CA, CCN 050745

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Inland Empire Anesthesia Medical Group, Inc

  • Anesthesiology Physician
  • Colton, CA
  • NPI 1861502841
  Medicare reassignment Care Compare group NPD
• Seven Star Hospital Associates Inc.

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140
  Medicare reassignment Care Compare group NPD
• Aspen Anesthesia Services Pain Experts and Nursing Networks Inc

  • Anesthesiology Physician
  • Hemet, CA
  • NPI 1568143469

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cep America - Anesthesia, PC

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1790401438
  Medicare reassignment NPD
• JP Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Fontana, CA
  • NPI 1609590926

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lgibson Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Rancho Cucamonga, CA
  • NPI 1417473323

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sonora Anesthesia Services a Medical Group Inc

  • Anesthesiology Physician
  • Sonora, CA
  • NPI 1265481105
  Medicare reassignment NPD
• Tip Top Anesthesia Group Inc

  • Licensed Practical Nurse
  • Beverly Hills, CA
  • NPI 1508283698
  Medicare reassignment NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Redding, CA
  • NPI 1013561851
  NPD
• Seven Star Hospital Associates Inc.

  • Anesthesiology Physician
  • Hemet, CA
  • NPI 1407459506
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Langhorne, PA
  • NPI 1093678229
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chapman Global Medical Center, Inc

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1427041110
  Care Compare affiliation
• Victor Valley Hospital Acquisition, Inc.

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1679879589
  Care Compare affiliation

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1679929525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 JELLICK AVE",
            "address_2": "UNIT E",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481920",
            "telephone_number": "909-573-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-573-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "MARC",
        "middle_name": "WREN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "759678",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Flores
• Joseph G. Florin, P.A-C
• Flowerride Transportation LLC
• Naquan Lamont Flowers
• Julie Randles Fogwell
• Patrick Fong
• Foothill Oxygen Service, Inc
• Myoshi Fraise
• Krista Renee Frakes
• Antony Adel Francis, MD

• Certified Registered Nurse Anesthetist in Colton, CA
• Providers in Colton, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.