Individual provider Active NPI

Della Jang Fong, M.D.

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
National Provider Identifier
1700813359
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G79210 Issued in CA
Practice address
625 South Fair Oaks Avenue
Suite 255, South Lobby
Pasadena, CA 91105
Phone
(626) 304-2626
Fax
(626) 585-0695
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G79210 CA Primary

Addresses

Primary practice location

625 South Fair Oaks Avenue
Suite 255, South Lobby
Pasadena, CA 91105

Mailing address

625 South Fair Oaks Avenue
Suite 255, South Lobby
Pasadena, CA 91105
Phone (626) 304-2626

Other identifiers 1

IdentifierTypeStateIssuer
00G337270MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001248 CA Practitioner - Obstetrics/Gynecology 3971574021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 255
Pasadena, CA 91105-2666
Phone (626) 304-2626

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G79210CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 1, 2023 Accepting new patients
Robert B. Morrison, M.D. Inc. Obstetrics & Gynecology PastSince Apr 30, 2003 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

625 S Fair Oaks Ave
Ste 255
Pasadena, CA 91105
Phone (626) 304-2613

Interoperability endpoints

  • Direct secure messaging: dfong419381@direct.cshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1700813359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SOUTH FAIR OAKS AVENUE",
            "address_2": "SUITE 255, SOUTH LOBBY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SOUTH FAIR OAKS AVENUE",
            "address_2": "SUITE 255, SOUTH LOBBY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "DELLA",
        "middle_name": "JANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G79210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G337270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.