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KRISTEN E FONG MFT
NPI 1790955516
Preferred Provider Organization in San Rafael, CA

Active since March 07, 2008
1050 NORTHGATE DR, SUITE 12, SAN RAFAEL, CA 94903(415) 250-0541 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen E Fong Mft NPPES

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

KRISTEN E FONG MFT (NPI 1790955516) is an individual preferred provider organization provider in San Rafael, California, licensed in California (MFC36228) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1790955516
Entity TypeIndividualFemale
Primary Taxonomy305R00000X
Provider Legal NameKRISTEN E FONGCredential: MFT
Location Address1050 NORTHGATE DR, SUITE 12San Rafael, CA 94903-2526
Mailing Address1050 Northgate Dr, Suite 12San Rafael, CA 94903-2526 · (415) 250-0541
Phone(415) 250-0541
Sole ProprietorYes
Enumeration DateMarch 7, 2008
Last NPPES UpdateJuly 20, 2015
✔ NPI 1790955516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · MFC36228
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1050 NORTHGATE DR, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 17

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

IN HOME HEALTH, LLC
Hospice Care, Community Based
1050 NORTHGATE DR, SUITE 400
SAN RAFAEL, CA 94903
Marin County (415) 472-2637
DR.'S SHTURMAN, MICHELSON AND KISILYUK A DENTAL CORPORATION
Dentist
1050 NORTHGATE DR, 250B
SAN RAFAEL, CA 94903
Marin County (415) 306-1456
RUTH RUBIN, MD, MPH, A PROFESSIONAL CORPORATION
Internal Medicine
1050 NORTHGATE DR, SUITE 100
SAN RAFAEL, CA 94903
Marin County (415) 785-4246
ABACI AND MASSEY PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION
Pain Medicine (Interventional Pain Medicine)
1050 NORTHGATE DR, SUITE 460
SAN RAFAEL, CA 94903
Marin County (415) 461-7246
MR. ROBERT STEVEN MURRAY LMFT
Marriage & Family Therapist
1050 NORTHGATE DR, SUITE 12
SAN RAFAEL, CA 94903
Marin County (415) 320-5605
MS. GIGI PAGANI
Psychologist (Clinical)
1050 NORTHGATE DR, STE 12
SAN RAFAEL, CA 94903
Marin County (415) 849-0948
DR. ALBERT MICHAEL WOLFE PH.D.
Clinical Neuropsychologist
1050 NORTHGATE DR, SUITE 353
SAN RAFAEL, CA 94903
Marin County (415) 456-7718
MRS. BETH LEIGH KOLAKOSKI LMFT
Marriage & Family Therapist
1050 NORTHGATE DR
SAN RAFAEL, CA 94903
Marin County (415) 425-2523

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 Kristen Fong's NPI number?

The NPI number for Kristen Fong is 1790955516. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Where is Kristen Fong located?

Kristen Fong practices at 1050 Northgate Dr Suite 12, San Rafael, CA 94903. The listed phone number is (415) 250-0541.

What is Kristen Fong's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Kristen Fong was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.