1. Home
  2. Directory
  3. California
  4. San Leandro
  5. Licensed Psychiatric Technician
  6. NPI Profile

MIU KEN FONG
NPI 1437818028
Licensed Psychiatric Technician in San Leandro, CA

Active since December 11, 2021
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578(510) 352-9690 Get Directions Write a Review

NPPES record last updated: December 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miu Ken Fong NPPES

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

MIU KEN FONG (NPI 1437818028) is an individual licensed psychiatric technician in San Leandro, California, licensed in California (28430) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1437818028
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMIU KEN FONG
Location Address15200 FOOTHILL BLVDSan Leandro, CA 94578-1013
Mailing Address15200 Foothill BlvdSan Leandro, CA 94578-1013 · (510) 352-9690
Phone(510) 352-9690
Sole ProprietorYes
Enumeration DateDecember 11, 2021
NPPES CertifiedDecember 11, 2021
✔ NPI 1437818028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 28430
Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

15200 FOOTHILL BLVD, San Leandro, CA 94578
Open in Google Maps ↗

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.

DR. LAWRENCE NOVIS M.D.
Psychiatry & Neurology (Psychiatry)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
DR. HARVEY PAUL SEGALOVE M.D.
Psychiatry & Neurology (Psychiatry)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
MS. KARIN JO POWLEN LCSW
Social Worker (Clinical)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
MS. MAY TAYEKO KAWAMOTO
Marriage & Family Therapist
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
BRIAN GILBANE LCSW
Social Worker (Clinical)
15200 FOOTHILL BLVD, VILLA FAIRMONT MHRC
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
MS. ROBERYRE DIANNE JOHNSON MSW
Social Worker (Clinical)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
MAISIE LASHER KETRON MSW
Social Worker (Clinical)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690
ANN CRISTINA ELLIOTT MSW
Social Worker (Clinical)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Alameda County (510) 352-9690

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 Miu Ken Fong's NPI number?

The NPI number for Miu Ken Fong is 1437818028. It was assigned to this individual provider in the NPPES registry on December 11, 2021.

Where is Miu Ken Fong located?

Miu Ken Fong practices at 15200 Foothill Blvd, San Leandro, CA 94578. The listed phone number is (510) 352-9690.

What is Miu Ken Fong's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Miu Ken Fong was last updated on December 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.