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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Fong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sac Health System
0.2 mi
Federally Qualified Health Center (FQHC)
488 S K ST
San Bernardino, CA 92410
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1649547944 (909) 382-7100
Faculty Physicians And Surgeons Of Llusm
22 mi
Pediatrics
7223 CHURCH ST, SUITE C-1
Highland, CA 92346
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1689624991 (909) 425-3936

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 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.

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)
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
ALENA NOELLE DEVAUGHN
Student in an Organized Health Care Education/Training Program
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
SAC HEALTH SYSTEM
Family Medicine
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
KIMBERLY-NICOLLE VALDEZ SINGNGAM
Nurse Practitioner (Pediatrics)
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
EHREN NGO
Emergency Medical Technician, Paramedic
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 771-2830
AANTUU MENGISTU
Psychologist
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-7100
MFI RECOVERY CENTER
Substance Abuse Rehabilitation Facility
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (951) 683-6596
RIAN JAMES BLACKWOOD DO
Family Medicine
250 S G ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 382-1700

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 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.

Where is Matthew Fong located?

Matthew Fong practices at 250 S G St, San Bernardino, CA 92410. The listed phone number is (909) 382-7100.

What is Matthew Fong's specialty?

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

Is Matthew Fong enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Fong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fong reassigns Medicare benefits to 2 organizations: Sac Health System (San Bernardino, CA) and Faculty Physicians And Surgeons Of Llusm (Highland, 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 Matthew 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 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.