MATTHEW BRYAN FONG M.D.
NPI 1346412244
Pediatrics in San Bernardino, CA

Q: What is Matthew Fong's NPI number?

The NPI number for Matthew Fong is 1346412244. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Q: What is Matthew Fong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fong was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2008PECOS Enrolled

250 S G ST, SAN BERNARDINO, CA 92410(909) 382-7100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 28, 2017 (3 updates tracked since 2017).

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About Matthew Bryan Fong M.d. NPPES

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

MATTHEW BRYAN FONG M.D. (NPI 1346412244) is an individual pediatrics provider in San Bernardino, California, licensed in California (A113013) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1346412244

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMATTHEW BRYAN FONGCredential: M.D.

Location Address250 S G STSan Bernardino, CA 92410-3320

Mailing AddressColeman Pavilion, Room A1121, 11175 Campus StreetLoma Linda, CA 92350 · (909) 558-8142

Phone(909) 382-7100

Sole ProprietorNo

Enumeration DateMarch 31, 2008

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1346412244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A113013

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

250 S G ST, San Bernardino, CA 92410

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Secondary Practice Location 1

Location 111175 Campus StLoma Linda, CA 92350-1700 · Phone (909) 558-4174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Bryan Fong M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92410 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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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.

ROBERT WILLIAM WATROUS MD

Family Medicine (Addiction Medicine)