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TIMOTHY FONG PA
NPI 1477210565
Physician Assistant in Porterville, CA

Active since November 23, 2021PECOS Enrolled
1107 W POPLAR AVE, PORTERVILLE, CA 93257(877) 960-3426 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Fong Pa NPPES

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

TIMOTHY FONG PA (NPI 1477210565) is an individual physician assistant in Porterville, California, licensed in California (60415) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477210565
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY FONGCredential: PA
Location Address1107 W POPLAR AVEPorterville, CA 93257-5839
Mailing Address1107 W Poplar AvePorterville, CA 93257-5839 · (877) 960-3426
Phone(877) 960-3426
Sole ProprietorYes
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1477210565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 60415
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1107 W POPLAR AVE, Porterville, CA 93257
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Fong Pa 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 93257 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

ROMAN ESTEBAN MAYEK
Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (877) 960-3426
FAMILY HEALTHCARE NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (559) 781-7242
ARELI MARTINEZ FNP
Nurse Practitioner (Family)
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (559) 781-7242
MARTIN DOMINIC DEVINE MD
Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (877) 960-3426
ADRIANA BLAKELY
Physician Assistant
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (877) 960-3426
RACHEL ALTMAN FNP-C
Nurse Practitioner (Family)
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (877) 960-3426
SPENCER DAYTON PACKER
Physician Assistant (Medical)
1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORK
PORTERVILLE, CA 93257
Tulare County (559) 781-7242
DR. SANJAY SOOD M.D.
Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Tulare County (559) 781-7242

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 Timothy Fong's NPI number?

The NPI number for Timothy Fong is 1477210565. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Timothy Fong located?

Timothy Fong practices at 1107 W Poplar Ave, Porterville, CA 93257. The listed phone number is (877) 960-3426.

What is Timothy Fong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Fong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Fong was last updated on November 23, 2021. 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.