SUSAN A FONG (NPI# 1588807390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588807390 |
| Entity Type | Individual |
| Full Name | SUSAN A FONG |
| Credential | MD |
| Practice Address |
301 Industrial Rd San Carlos CA 94070-2603 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6505964000 |
| Mailing Telephone | 6505964000 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A106819 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2652 El Camino Real, Santa Clara, CA 950513041 | 4085245952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053687582 | Susan T Fong | Pharmacist | 1345 Montebello Blvd, Montebello, CA 90640-2585 | 2012-03-29 |
| 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 |
| Street Address |
301 INDUSTRIAL RD |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414975 | Allison Granot | Physical Therapist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2005-08-17 |
| 1871119958 | London Denison | Physical Therapist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2020-06-24 |
| 1952953325 | Nathan Ramos | Physician Assistant | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2019-07-15 |
| 1871062380 | Lorna Pyle | Nurse Practitioner | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2018-11-14 |
| 1811464811 | Omar Aljundi | Nurse Practitioner | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2018-10-28 |
| 1538652995 | Thomas Tai | Physical Therapist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2018-06-11 |
| 1235621103 | Christina F Cuevas | Nurse Practitioner | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2018-06-05 |
| 1427549344 | Michelle Chu | Occupational Therapist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2018-05-25 |
| 1669989638 | Suyang Zhou | Physician Assistant | 301 Industrial Rd, San Carlos, CA 94070 | 2017-12-29 |
| 1598271991 | Chelsea Jean Ingrim | Audiologist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2017-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| 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 |
|---|---|---|---|---|
| 1194977249 | Nicole Susan Ketterman | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2008-10-21 |
| 1407048598 | Aaron Michael Nayfack | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2007-08-14 |
| 1790829216 | Jeanne Chiu | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2007-02-16 |
| 1225104441 | Aimee Leigh Harris | Pediatrics | 301 Industrial Rd, Level 1, San Carlos, CA 94070-2603 | 2006-11-28 |
| 1003983032 | Sarah Cheyette | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-11-28 |
| 1912073339 | Sawsan Kara | Pediatrics | 301 Industrial Rd, Level 1, San Carlos, CA 94070-2603 | 2006-11-28 |
| 1205901691 | Neel Dipak Patel | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-11-21 |
| 1033299656 | Naveen Mahmood | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-10-17 |
| 1588744056 | Nathalie Lynch | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-10-17 |
| 1114036282 | Chul H. Kim | Pediatrics | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on SUSAN A 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.