Kristyna Fong, D.O.
Individual provider Active NPI Family Medicine Physician · Ojai, CA
NPI 1801294657 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1801294657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A20207 (CA)
- Practice address
- 1202 Maricopa Hwy Ste C
Ojai, CA 93023-3170 - Phone
- (805) 640-0068
- Fax
- (805) 640-1749
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Col of Osteo Med of the Pacific at Lebanon, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Oak Family Practice Medical Group Inc
Practice addresses (Care Compare)
1202 Maricopa Hwy
Suite C
Ojai, CA 93023-3170
Phone (805) 640-0068
Hospital & facility affiliations
- Mission Home Health of Ventura, LLC
- Community Memorial Hospital - Ojai
- Community Memorial Hospital - Ventura
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929002704 | CA | Practitioner - Family Practice | 2668844044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20207 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Oak Family Practice Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Community Memorial Health System | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients |
Locations
1202 Maricopa Hwy
Ste C
Ojai, CA 93023
Phone (805) 640-0068
Interoperability endpoints
- kristyna.fong.1@27638.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 20A20207 | CA | Yes |
Addresses
Primary practice location
1202 Maricopa Hwy Ste C
Ojai, CA 93023-3170
Mailing address
1075 Portside Dr Unit 203
Ventura, CA 93001-4348
Other providers in Ojai, CA
- Frederick Mayer Fauvre
- Jacqueline Feather
- Robert Emerson Feiss
- Fierro Physical Therapy and Sports Performance Inc.
- Flourish Behavioral Services
- Micheal Foor
- Jessica Foote
- Fred M Fauvre MD a Professional Corporation
- Brian D Frederick
- Kelly Freedland
All providers in Ojai, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. 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.
- Order and Referring (CMS).
- 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.