Organization Active NPI

Warren H Fong MD Inc

  • Hematology & Oncology Physician
  • Newport Beach, CA
National Provider Identifier
1841274602
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
WARREN H FONG MD INC
Practice address
361 Hospital Rd
Ste 530
Newport Beach, CA 92663-3522
Phone
(949) 574-1610
Fax
(949) 574-1613
NPI assigned
Dec 5, 2005
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Warren H Fong, MD
Title
President
Phone
(949) 574-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

361 Hospital Rd
Ste 530
Newport Beach, CA 92663-3522

Mailing address

361 Hospital Rd
Ste 530
Newport Beach, CA 92663-3522
Phone (949) 574-1610

Other identifiers 1

IdentifierTypeStateIssuer
WG78726AOtherCAMEDICARE INDIVIDUAL PTAN

National Provider Directory

National Provider Directory

Locations

361 Hospital Rd
Ste 530
Newport Beach, CA 92663
Phone (949) 574-1610

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1841274602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "STE 530",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-574-1610",
            "fax_number": "949-574-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "STE 530",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-574-1610",
            "fax_number": "949-574-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN H FONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-574-1610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WG78726A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.