DR. SUSAN T FONG (NPI# 1053687582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053687582 |
| Entity Type | Individual |
| Full Name | DR. SUSAN T FONG |
| Credential | PHARM. D. |
| Practice Address |
1345 Montebello Blvd Montebello CA 90640-2585 |
| Practice Telephone | 3238900069 |
| Practice Fax Number | 3238909277 |
| Mailing Telephone | 3238900069 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 38439 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487761235 | Susan Kim Fong | Obstetrics & Gynecology | 170 William St Fl 1, New York, NY 10038-2612 | 2006-08-25 |
| 1740712942 | Susan K Fong | Pharmacist | 350 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-28 |
| 1417391582 | Susan Lee Fong | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2013-04-19 |
| 1588807390 | Susan A Fong | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2009-04-08 |
| Street Address |
1345 MONTEBELLO BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1356884936 | Albert Vo | Pharmacist | 915 Carob Way Apt 7, Montebello, CA 90640-5874 | 2016-11-30 |
| 1902350572 | Peaches Reyes | Pharmacist | 1752 Bradbury Dr, Montebello, CA 90640-2149 | 2016-08-11 |
| 1346615622 | Artin Adamian | Pharmacist | 101 E Beverly Blvd Ste 101, Montebello, CA 90640-4314 | 2015-12-11 |
| 1194030270 | Waikin Harry Loong | Pharmacist | 802 W Beverly Blvd, Montebello, CA 90640-4213 | 2010-08-12 |
| 1376856476 | George M. Arragg II | Pharmacist | 330 E Oakmont Dr, Montebello, CA 90640-2776 | 2010-07-17 |
| 1326360728 | Sholly Mary Mathew | Pharmacist | 5 Indian Rock Rt 59, Montebello, NY 10901-1625 | 2010-02-25 |
| 1487759155 | Steven S Hou | Pharmacist | 1912 W Whittier Blvd, Montebello, CA 90640-4009 | 2006-09-14 |
| 1184237141 | Julie Kim | Pharmacist | 1501 W Whittier Blvd, Montebello, CA 90640-4001 | 2020-08-28 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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| 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.