Ka Yan Mary Fong DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KA YAN MARY FONG DDS INC

Practice address

3121 Geary Blvd
San Francisco, CA 94118

Phone

(415) 702-6386

Fax

(415) 702-8382

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ka Yan Mary Fong, DDSNPI 1801048269

Title

President

Phone

(415) 359-7817

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ka Yan Mary Fong, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1801048269
  NPD (past) Authorized official

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1750851382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RAYMOND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94134",
            "telephone_number": "415-359-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-702-6386",
            "fax_number": "415-702-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA YAN MARY FONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "KA YAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-359-7817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Paul Jutte, MD, MPH
• Krystal S. Juvenal
• Anita R Juvvadi, M.D.
• K Bermudez Medical Corporation
• K W Counseling
• Ricka Kabasares
• Sarah Kabatt, NP
• Francesca Kabemba, MD
• Aymen Salahadin Kabir
• Aria Kabiri, CRNA

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.