JASETTE MARIAN MANACSA FONG RN, APRN, MSN
NPI 1386339091
Clinical Nurse Specialist - Pediatrics in San Diego, CA

Active since April 07, 2023
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7049 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasette Marian Manacsa Fong Rn, Aprn, Msn NPPES

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

JASETTE MARIAN MANACSA FONG RN, APRN, MSN (NPI 1386339091) is an individual pediatrics provider in San Diego, California, licensed in California (4666) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1386339091
Entity TypeIndividualFemale
Primary Taxonomy364SP0200X
Provider Legal NameJASETTE MARIAN MANACSA FONGCredential: RN, APRN, MSN
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address1118 Camino CanteraChula Vista, CA 91913-3451 · (619) 548-0886
Sole ProprietorNo
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
NPI 1386339091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0200X
License Licensed in CA · 4666
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 753824 (CA)
34800 BOB WILSON DR, San Diego, CA 92134

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 Jasette Marian Fong's NPI number?

The NPI number for Jasette Marian Fong is 1386339091. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Jasette Marian Fong located?

Jasette Marian Fong practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-7049.

What is Jasette Marian Fong's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

When was this NPI record last updated?

The NPPES record for Jasette Marian Fong was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.