AMY FONG (NPI# 1639692445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639692445 |
| Entity Type | Individual |
| Full Name | AMY FONG |
| Credential | FNP-BC |
| Practice Address |
117 N San Mateo Dr Ste 1 San Mateo CA 94401-2708 |
| Practice Telephone | 6504259408 |
| Mailing Telephone | 5103382774 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95006308 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225082548 | Amy Shih-mei Fong | Family Medicine | 1500 Neely Ave, Muncie, IN 47306-0001 | 2006-05-20 |
| 1659864205 | Amy Wan Fong | Internal Medicine | 245 N 15th St Fl 6, Philadelphia, PA 19102-1198 | 2018-06-08 |
| 1114102209 | Amy Elizabeth Fong | Physical Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2008-01-08 |
| 1538259981 | Amy Fong | Physical Therapist | 1970 Lake Blvd Ste 4, Davis, CA 95616-5663 | 2006-10-14 |
| Street Address |
117 N SAN MATEO DR STE 1 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290726 | Alexandra Marie Rutherford | Registered Nurse | 117 N San Mateo Dr Ste 1, San Mateo, CA 94401-2794 | 2019-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936892 | Zahiyah Hasan | Nurse Practitioner | 1518 Cobb St, San Mateo, CA 94401-3622 | 2019-11-13 |
| 1164896411 | Jennifer Morales | Nurse Practitioner | 411 Borel Ave Ste 100, San Mateo, CA 94402-3516 | 2015-11-24 |
| 1124495247 | Michele Cronin | Nurse Practitioner | 1670 S Amphlett Blvd Ste 300, San Mateo, CA 94402-2534 | 2015-08-24 |
| 1013231422 | Marty Gail Rosier | Nurse Practitioner | 2000 Alameda De Las Pulgas Ste 210, San Mateo, CA 94403-1293 | 2010-03-15 |
| 1871661207 | Allison Virginia Bunch | Nurse Practitioner | 50 S San Mateo Dr Ste 360, San Mateo, CA 94401 | 2006-12-01 |
| 1942833066 | Heather Paul | Nurse Practitioner | 66 Bovet Rd Ste 105, San Mateo, CA 94402-3126 | 2020-02-17 |
| 1609416593 | Rachel Brinitzer | Nurse Practitioner | 1900 Ofarrell St Ste 190, San Mateo, CA 94403-1372 | 2020-01-08 |
| 1518507409 | Joseph Krezanoski | Nurse Practitioner | 1900 Ofarrell St Ste 190, San Mateo, CA 94403-1372 | 2020-01-08 |
| 1417509167 | Alison L. Sloan | Nurse Practitioner | 101 S San Mateo Dr Ste 311, San Mateo, CA 94401-3844 | 2019-07-12 |
| 1114406519 | Jessica B Barra | Nurse Practitioner | 411 Borel Ave Ste 100, San Mateo, CA 94402-3516 | 2018-08-07 |
| Find all providers in SAN MATEO | ||||
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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.