Michael Dennis Fox, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G53561 Issued in CA

Practice address

1839 S El Dorado St
Stockton, CA 95206-2025

Phone

(209) 463-0872

NPI assigned

Dec 15, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1912069758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062025",
            "telephone_number": "209-463-0872",
            "fax_number": "209-466-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062025",
            "telephone_number": "209-463-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G53561",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G53561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Scott Foster, MD
• Eleni N Fotakos
• Mina Fouad, DDS
• Khadija Fox, CBD, CPD, CLES, CPE
• Kortney Yvonne Fox
• Alaija Foy-Hines
• Camila Andrea Fragoza
• Kelley Franceschi, PSY.D
• Shane Hazel Manalo Franciliso
• Jessicca Francisco

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.