MATTHEW BRYAN FONG (NPI# 1346412244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346412244 |
Entity Type | Individual |
Full Name | MATTHEW BRYAN FONG |
Credential | M.D. |
Practice Address |
250 S G St San Bernardino CA 92410-3320 |
Mailing Address |
Coleman Pavilion, Room A1121 11175 Campus Street Loma Linda CA 92350 |
Practice Telephone | 9093827100 |
Mailing Telephone | (909) 558-8142 |
Enumeration Date | 2008-03-31 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | A113013 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
11175 Campus St, Loma Linda, CA 923501700 | 9095584174 |
Street Address |
250 S G ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92410-3320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528693504 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
1437784410 | Sac Health System | Clinic/Center | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-10 |
1275167926 | Alma Rosa Vazquez | Social Worker | 250 S G St, San Bernardino, CA 92410-3320 | 2020-03-02 |
1407494750 | Joshua Joseph Masih | Nurse Practitioner | 250 S G St, San Bernardino, CA 92410-3320 | 2019-12-17 |
1366085359 | Anna Kim | Pharmacist | 250 S G St, San Bernardino, CA 92410-3320 | 2019-10-22 |
1104467190 | Karin Cecilia Ulltjaern | Nurse Practitioner | 250 S G St, San Bernardino, CA 92410-3320 | 2019-10-01 |
1144781733 | Monique Roach | Social Worker | 250 S G St, San Bernardino, CA 92410-3320 | 2019-03-27 |
1043721939 | Sac Health System | Family Medicine | 250 S G St, San Bernardino, CA 92410-3320 | 2017-10-18 |
1538688486 | Rocco J Massimiano | Pharmacist | 250 S G St, San Bernardino, CA 92410-3320 | 2017-09-12 |
1497275747 | Cecilia Kristell Martinez | Dietitian, Registered | 250 S G St, San Bernardino, CA 92410-3320 | 2017-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
Find all providers in zip 92410 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982987095 | Apex Pediatrics Inc | Pediatrics | 399 E Highland Ave Ste 329, San Bernardino, CA 92404-3861 | 2011-09-25 |
1639400708 | Roshunda Michelle Coleman | Pediatrics | 190 E. Highland Blvd., San Bernardino, CA 92405-3658 | 2010-01-28 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1700058526 | Rishikesh S Chavan | Pediatrics | 250 E Caroline St Ste E, San Bernardino, CA 92408-3758 | 2008-04-01 |
1629249859 | Tara Rithaporn Agena | Pediatrics | 565 North Mt Vernon Ave, San Bernardino, CA 92411-2661 | 2008-03-15 |
1073795027 | Irene Styadi Tsai | Pediatrics | 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408-3502 | 2007-12-01 |
1235351206 | Edgar Eduardo Alfaro- Mcfield | Pediatrics | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2007-05-02 |
1659497535 | Alan Irving Lee | Pediatrics | 1906 Commercenter E Ste 101, San Bernardino, CA 92408-3423 | 2007-03-22 |
1679612212 | Aena D Han | Pediatrics | 1505 W 17th St Ste 1, San Bernardino, CA 92411-1202 | 2007-02-06 |
1598836561 | Tien Ngoc Dinh | Pediatrics | 625 Carnegie Dr Ste 280, San Bernardino, CA 92408-3577 | 2006-11-13 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92410 |
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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.