SUSAN K FONG (NPI# 1740712942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740712942 |
| Entity Type | Individual |
| Full Name | SUSAN K FONG |
| Credential | PHARM-D |
| Practice Address |
350 Lennon Ln Walnut Creek CA 94598-2419 |
| Practice Telephone | 9259062503 |
| Mailing Telephone | 9259062503 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36173 | CA | Pharmacy Service Providers |
| 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 |
| 1417391582 | Susan Lee Fong | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2013-04-19 |
| 1588807390 | Susan A Fong | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2009-04-08 |
| Street Address |
350 LENNON LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164570776 | Kaiser Foundation Health Plan Inc | Pharmacy | 350 Lennon Ln, Walnut Creek, CA 94598-2419 | 2007-01-08 |
| 1962950576 | Lily Chan | Pharmacist | 350 Lennon Ln, Walnut Creek, CA 94598-2419 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1861976680 | Darryl Minoru Nomura | Pharmacist | 1211 Durant Ct, Walnut Creek, CA 94596-6405 | 2018-09-18 |
| 1598275273 | Ming Wai Fan | Pharmacist | 112 La Casa Via Ste 100, Walnut Creek, CA 94598-3016 | 2017-10-06 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1568901692 | Edward Speck | Pharmacist | 2124 Youngs Ct, Walnut Creek, CA 94596-6320 | 2017-02-22 |
| 1669915583 | Peter David Linse | Pharmacist | 3126 Oak Rd, Apt 217, Walnut Creek, CA 94597-7710 | 2016-11-25 |
| 1740645977 | Nahla Alabbas | Pharmacist | 3101 Bowling Green Dr, Walnut Creek, CA 94598-4556 | 2015-12-14 |
| 1215311766 | Chinh Nguyen | Pharmacist | 2800 Ygnacio Valley Rd, Walnut Creek, CA 94598-3534 | 2015-07-15 |
| 1497150627 | Vivian Kong | Pharmacist | 501 Lennon Ln, Walnut Creek, CA 94598-2414 | 2014-10-30 |
| 1659772937 | Annila Qazi | Pharmacist | 1930 Oak Grove Rd, Walnut Creek, CA 94598-1607 | 2014-09-05 |
| 1144620741 | Betty Yee | Pharmacist | 2043 Strand Rd, Walnut Creek, CA 94596-5737 | 2014-09-02 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.