EDWARD FONG M.D.
NPI 1124133574
Pediatrics - Pediatric Pulmonology in Oakland, CA

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
747 52ND ST, SUITE 5409, OAKLAND, CA 94609(510) 428-3305(510) 597-7154 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Fong M.d. NPPES

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

EDWARD FONG M.D. (NPI 1124133574) is an individual pediatric pulmonology provider in Oakland, California, licensed in California (A87813) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1124133574
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameEDWARD FONGCredential: M.D.
Location Address747 52ND ST, SUITE 5409Oakland, CA 94609-1809
Mailing Address747 52nd St, Suite 5409Oakland, CA 94609-1809 · (510) 428-3305 · Fax (510) 597-7154
Fax(510) 597-7154
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1124133574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License Licensed in CA · A87813
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
747 52ND ST, Oakland, CA 94609

Other Identifiers 1

Medicaid00A878130CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Edward Fong M.d. 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.

PECOS PAC ID1759540446
PECOS Enrollment IDI20161229000867
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.

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.

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Edward Fong's NPI number?

The NPI number for Edward Fong is 1124133574. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Edward Fong located?

Edward Fong practices at 747 52nd St Suite 5409, Oakland, CA 94609. The listed phone number is (510) 428-3305.

What is Edward Fong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Edward Fong enrolled in Medicare?

Yes. Edward 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.

What insurance does Edward Fong accept?

Health plans from HMSA list Edward Fong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Fong was last updated on July 9, 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.