SUSAN A FONG MD
NPI 1588807390
Pediatrics in San Carlos, CA

Q: What is Susan Fong's NPI number?

The NPI number for Susan Fong is 1588807390. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Q: What is Susan 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 Susan Fong was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 08, 2009

301 INDUSTRIAL RD, SAN CARLOS, CA 94070(650) 596-4000 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Susan A Fong Md NPPES

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

SUSAN A FONG MD (NPI 1588807390) is an individual pediatrics provider in San Carlos, California, licensed in California (A106819) and active in the NPI registry since April 2009. She maintains a secondary practice location in Santa Clara.

NPPES Registry Identity

NPI1588807390

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUSAN A FONGCredential: MD

Location Address301 INDUSTRIAL RDSan Carlos, CA 94070-2603

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 596-4000

Phone(650) 596-4000

Sole ProprietorNo

Enumeration DateApril 8, 2009

Last NPPES UpdateJune 4, 2020

NPPES CertifiedJune 4, 2020

✔ NPI 1588807390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A106819

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.

301 INDUSTRIAL RD, San Carlos, CA 94070

Open in Google Maps ↗

Secondary Practice Location 1

Location 12652 El Camino RealSanta Clara, CA 95051-3041 · Phone (408) 524-5952

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.

REBECCA ASHE MD

Internal Medicine