TYLER FONG (NPI# 1023541646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023541646 |
| Entity Type | Individual |
| Full Name | TYLER FONG |
| Practice Address |
580 Catalina Rd Fullerton CA 92835-2419 |
| Practice Telephone | 7145145800 |
| Mailing Telephone | 7145145800 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
580 CATALINA RD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413495 | Amanda Ly | Student in an Organized Health Care Education/Training Program | 3164 Highlander Rd, Fullerton, CA 92833-5508 | 2020-09-28 |
| 1366054090 | Rebecca Ramos | Student in an Organized Health Care Education/Training Program | 1235 N Harbor Blvd Ste 115, Fullerton, CA 92832-1323 | 2020-08-24 |
| 1891316584 | Deysi Mejia Mercado | Student in an Organized Health Care Education/Training Program | 126 W Whiting Ave Apt 2, Fullerton, CA 92832-1447 | 2020-05-04 |
| 1205466786 | Zachary Geeseok Oh | Student in an Organized Health Care Education/Training Program | 2012 Brooke Ln, Fullerton, CA 92833-1245 | 2020-01-23 |
| 1841770757 | Brenda Flores | Student in an Organized Health Care Education/Training Program | 801 E. Chapman Ave.,#203, Fullerton, CA 92831-3839 | 2018-08-20 |
| 1639673338 | Arvin Raj Wali | Student in an Organized Health Care Education/Training Program | 2050 Pioneer Ave, Fullerton, CA 92831-1230 | 2018-03-19 |
| 1578078960 | Jae Hee Kim | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 106, Fullerton, CA 92831-3846 | 2017-12-06 |
| 1528584166 | Kristen Goetz | Student in an Organized Health Care Education/Training Program | 309 N Mountain View Pl Apt 9, Fullerton, CA 92831-4168 | 2017-08-16 |
| 1548785058 | Roland Garcia | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave., 203, Fullerton, CA 92831-3839 | 2017-08-04 |
| 1093241911 | Michael Mosier | Student in an Organized Health Care Education/Training Program | 860 Rancho Cir, Fullerton, CA 92835-3335 | 2017-05-11 |
| Find all providers in FULLERTON | ||||
Please comment or provide details below to improve the information on TYLER FONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.