DR. RANDY FONG D.D.S.
NPI 1104952803
Dentist - General Practice in Santa Ana, CA
About Dr. Randy Fong D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDY FONG D.D.S. (NPI 1104952803) is an individual general practice provider in Santa Ana, California, licensed in California (33761) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Randy Fong D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92704 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.
SANTA ANA, CA 92704
SANTA ANA, CA 92704
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 Randy Fong's NPI number?
The NPI number for Randy Fong is 1104952803. It was assigned to this individual provider in the NPPES registry on February 26, 2007.
Where is Randy Fong located?
Randy Fong practices at 3620 S Bristol St Suite #208, Santa Ana, CA 92704. The listed phone number is (714) 549-1903.
What is Randy Fong's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Randy Fong enrolled in Medicare?
Yes. Randy Fong is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Randy Fong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Dr. Randy Fong, D.D.S. · NPI 1104952803
General Practice provider in Santa Ana, California. Individual provider, active in the CMS NPPES registry since February 26, 2007.
## Identity
- **NPI:** 1104952803 (Entity type: Individual)
- **Enumerated:** February 26, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 33761 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3620 S BRISTOL ST, SUITE #208, Santa Ana, CA 92704-7300
- **Phone:** (714) 549-1903
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1104952803) · Data from the CMS NPPES public registry.