LAURENA NELLY DONGMO FOTSING
NPI 1003433699
Family Medicine - Adult Medicine in Vallejo, CA

Q: What is Laurena Dongmo Fotsing's NPI number?

The NPI number for Laurena Dongmo Fotsing is 1003433699. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Laurena Dongmo Fotsing's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since June 29, 2020PECOS Enrolled

365 TUOLUMNE ST, VALLEJO, CA 94590(707) 553-5509 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2023, Jun 29, 2020 (2 updates tracked since 2020).

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About Laurena Nelly Dongmo Fotsing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURENA NELLY DONGMO FOTSING (NPI 1003433699) is an individual adult medicine provider in Vallejo, California, licensed in California (A183988) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003433699

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameLAURENA NELLY DONGMO FOTSING

Location Address365 TUOLUMNE STVallejo, CA 94590-5700

Mailing Address1310 Club DrVallejo, CA 94592-1187 · (707) 638-5285 · Fax (707) 638-5924

Phone(707) 553-5509

Sole ProprietorNo

Enumeration DateJune 29, 2020

Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1003433699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CA · A183988

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

365 TUOLUMNE ST, Vallejo, CA 94590

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurena Nelly Dongmo Fotsing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Laurena Dongmo Fotsing reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Valley Medical Foundation

12 mi

Multi-Specialty

2720 LOW CT
Fairfield, CA 94534

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1184859894 (707) 428-2731

Mountain Valleys Health Centers

194 mi

Federally Qualified Health Center (FQHC)

37092 STATE HIGHWAY 299 E
Burney, CA 96013

Reassigned Medicare billing, California enrollment
45 clinicians in this Medicare group

NPI 1306669031 (530) 999-9010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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