LUIS F FONG


Address: 3620 N. 3rd Street, Phoenix, AZ 85012
Phone: 6022307373

LUIS F FONG (NPI# 1598259467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598259467
Entity Type Individual
Full Name LUIS F FONG
Credential PMHNP
Practice Address 3620 N. 3rd Street
Phoenix
AZ 85012
Mailing Address 3620 N 3rd St
Phoenix
AZ 85012-2020
Practice Telephone 6022307373
Mailing Telephone 6022307373
Enumeration Date 2018-06-14
Last Update Date 2020-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN177607 AZ Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP11445 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers LUIS FONG

NPI Name Taxonomy Address Enumeration
1508155862 Luis Gustavo Fong Specialist 9834 Alstyne Ave, Floor 2, Corona, NY 11368-2720 2011-04-07
1104968809 Luis Fong Student in an Organized Health Care Education/Training Program 200 1st St Sw, Rochester, MN 55905-0001 2007-02-12

Office Location

Street Address 3620 N. 3RD STREET
City PHOENIX
State AZ
Zip Code 85012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
1982097614 T. M. Barratt Psychologist 3550 N. Central Ave. Suite 1407, Phoenix, AZ 85012 2015-03-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1912515305 Victory Health Solution LLC Nurse Practitioner 9132 W Hubbell St, Phoenix, AZ 85037-4377 2020-07-21
1700494374 Vanessa Moe Nurse Practitioner 42949 N Voyage Trl, Phoenix, AZ 85086-8040 2020-07-20
1043838527 Latasha Lynne Freeman Nurse Practitioner 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 2020-07-10
1861019416 Gayle Cecilia Bachelier Nurse Practitioner 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 2020-06-30
1871119156 Ashlyn Tellers Nurse Practitioner 21438 N 33rd Ave, Phoenix, AZ 85027-2241 2020-06-22
1770109605 Hannah Carita Jurekovic-byrd Nurse Practitioner 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 2020-06-16
1578188025 Joseph Medlin Nurse Practitioner 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 2020-06-10
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Competitor

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City PHOENIX
Zip Code 85012

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Dataset Information

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.

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