DR. LYNETTE FONG M.D.
NPI 1730282716
Pediatrics in Capitola, CA

Q: What is Lynette Fong's NPI number?

The NPI number for Lynette Fong is 1730282716. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Lynette 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 Lynette Fong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 06, 2006

1820 41ST AVE STE D, CAPITOLA, CA 95010(831) 476-3000(831) 476-9009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lynette Fong M.d. NPPES

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

DR. LYNETTE FONG M.D. (NPI 1730282716) is an individual pediatrics provider in Capitola, California, licensed in California (G75170) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1730282716

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LYNETTE FONGCredential: M.D.

Location Address1820 41ST AVE STE DCapitola, CA 95010-2516

Mailing Address1595 Soquel Dr, Ste 330Santa Cruz, CA 95065-1719 · (831) 465-7761 · Fax (831) 475-1156

Phone(831) 476-3000

Fax(831) 476-9009

Sole ProprietorNo

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730282716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G75170

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.

1820 41ST AVE STE D, Capitola, CA 95010

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Other Identifiers 1

Other00G75170CA · Medi-cal Id Number

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THERESE TROLAN M.D.

Pediatrics