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NANETTE CABALLES FONG NP
NPI 1154355758
Nurse Practitioner in Los Angeles, CA

Active since July 10, 2006PECOS Enrolled
300 MEDICAL PLAZA B200, LOS ANGELES, CA 90095(310) 794-1195(310) 794-7491 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2020, Dec 19, 2018 (2 updates tracked since 2018).

About Nanette Caballes Fong Np NPPES

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

NANETTE CABALLES FONG NP (NPI 1154355758) is an individual nurse practitioner in Los Angeles, California, licensed in California (15820) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154355758
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANETTE CABALLES FONGCredential: NP
Location Address300 MEDICAL PLAZA B200Los Angeles, CA 90095-3075
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 794-1195
Fax(310) 794-7491
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 16, 20202 updates tracked since enumeration
✔ NPI 1154355758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 15820
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 588928 (CA)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 2298 (CA)
300 MEDICAL PLAZA B200, Los Angeles, CA 90095
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Other Identifiers 1

Medicaid00G634350CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nanette Caballes Fong Np 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 Reassignment

Medicare enrollment records show Nanette Fong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
Same address
Neurology
300 UCLA MEDICAL PLZ STE B200
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
NPI 1437117074 (310) 794-1195

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 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier17 claims4,067 services$0.41 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$18.91 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier14 claims18 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MELISSA MARIE REIDER-DEMER PNP
Nurse Practitioner (Pediatrics)
300 MEDICAL PLAZA B200
LOS ANGELES, CA 90095
Los Angeles County (310) 794-1195

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 Nanette Fong's NPI number?

The NPI number for Nanette Fong is 1154355758. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Nanette Fong located?

Nanette Fong practices at 300 Medical Plaza B200, Los Angeles, CA 90095. The listed phone number is (310) 794-1195.

What is Nanette Fong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nanette Fong enrolled in Medicare?

Yes. Nanette Fong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nanette Fong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nanette Fong reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The 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 Nanette 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 Nanette Fong was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.