Physician Compare National (NPI:1396743241)

HEALTHCARE PROVIDER: VERNON KENT FONG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396743241
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385539907
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040220000814
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FONG
	Individual professional last name
Provider First Name	VERNON
	Individual professional first name
Provider Middle Name	KENT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	728 PACIFIC AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 501
	Group Practice or individual's line 2 address
City	SAN FRANCISCO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	941334449
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4153985990
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050407
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHINESE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050043
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALTA BATES SUMMIT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y