KELLY KA-YEE FONG MD
NPI 1083344022
Emergency Medicine in Loma Linda, CA
About Kelly Ka-yee Fong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY KA-YEE FONG MD (NPI 1083344022) is an individual emergency medicine provider in Loma Linda, California, licensed in California (A189948) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Ka-yee Fong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Fong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Corona, CA 92882
- Reassigned Medicare billing, California enrollment
- 114 clinicians in this Medicare group
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 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Fong's NPI number?
The NPI number for Kelly Fong is 1083344022. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Kelly Fong located?
Kelly Fong practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4085.
What is Kelly Fong's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelly Fong enrolled in Medicare?
Yes. Kelly Fong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Fong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fong reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Corona Regional Emergency Medical Associates Inc (Corona, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Fong was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Ka-Yee Fong, MD · NPI 1083344022
Emergency Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1083344022 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A189948 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4085
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA); Corona Regional Emergency Medical Associates Inc (NPI 1134629298, Corona, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** August 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1083344022) · Data from the CMS NPPES public registry.