LI MING FONG (NPI# 1134668692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134668692 |
| Entity Type | Individual |
| Full Name | LI MING FONG |
| Practice Address |
9985 Sierra Ave Mob1, 3rd Flr, Ob/gyn Pharmacy Fontana CA 92335-6720 |
| Practice Telephone | 9094274829 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51198 | CA | Pharmacy Service Providers |
| Street Address |
9985 SIERRA AVE MOB1, 3RD FLR, OB/GYN PHARMACY |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212929 | Nathan David Carlson | Family Medicine | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2005-08-18 |
| 1467060723 | Carly Turner Constance Kloack | Speech-Language Pathologist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2020-07-22 |
| 1518406669 | Eugene Corcoran | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-21 |
| 1689113029 | Tiffany Pattynama | Pharmacist | 9985 Sierra Ave, Link Pharmacy 2 Floor, Fontana, CA 92335-6720 | 2017-02-17 |
| 1275072738 | Jayshree Patel | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-16 |
| 1578002127 | Lianne Garcia-mao | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-15 |
| 1154860880 | Dean Pak | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-14 |
| 1659728368 | Victoria Lowe | Physician Assistant | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2016-05-23 |
| 1518321157 | Brian Patterson | Student in an Organized Health Care Education/Training Program | 9985 Sierra Ave, Mob 3, Floor 3, Attn: Carol Farrell, Fontana, CA 92335-6720 | 2016-04-10 |
| 1144682345 | Emmeline See-wai Wong Qin | Pediatrics | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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 |
|---|---|---|---|---|
| 1003355769 | Usama Labib | Pharmacist | 9985 Sierra Ave Fl Link2, Fontana, CA 92335-6720 | 2017-02-14 |
| 1023567013 | Adeniyi Nathan Daramola | Pharmacist | 7060 Dawn Way, Fontana, CA 92336-4258 | 2016-10-02 |
| 1831560192 | Yoon H Chang | Pharmacist | 17577 Arrow Blvd Ste 101, Fontana, CA 92335-4011 | 2015-10-13 |
| 1245641687 | Lih Gen (tracy) Lee | Pharmacist | 13451 Baseline Ave Ste C, Fontana, CA 92336-5472 | 2014-05-19 |
| 1073940094 | Andrew Kyung Warnock | Pharmacist | 4993 Brookside Ave, Fontana, CA 92336-0751 | 2013-10-04 |
| 1497013817 | Christopher Tjon | Pharmacist | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2012-04-24 |
| 1053677526 | Maria A Guerrero | Pharmacist | 14094 La Salle Court, Fontana, CA 92336 | 2012-04-09 |
| 1881970663 | Tony Jackson Chu | Pharmacist | 6278 Beth Page Dr, Fontana, CA 92336-1229 | 2011-10-25 |
| 1437434164 | Dylan Dang | Pharmacist | 7238 Ashwood Ct, Fontana, CA 92336-0899 | 2011-10-13 |
| 1134416928 | Khilna Patel | Pharmacist | 16353 Freesia Ln, Fontana, CA 92336-1475 | 2011-06-30 |
| Find all providers in FONTANA | ||||
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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.