ANDREW FONG (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1679928394

ANDREW FONG (MD) is a healthcare provider. based in Pleasanton, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. A149653 (CA). The NPI Number for ANDREW FONG (MD) is 1679928394

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW FONG (MD)
NPI
1679928394
Phone
(925) 847-3000
Address
5555 W LAS POSITAS BLVD STE A7D
Enumeration Date
2 May 2016
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
2099432000
Graduation Year
2015 (11 years ago)
PAC ID
6406110212
Group Practice PAC ID
8820073455
Professional Enrollment ID
I20210830001449
Address ID
CA952046019ST1800XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,583 PATHOLOGY in CA

Provider Addresses for ANDREW FONG (MD)

  • 5555 W LAS POSITAS BLVD STE A7D

    PLEASANTON, CA 945884000

    Phone: (925) 847-3000

    Type: Location

  • 5700 SOUTHWYCK BLVD

    TOLEDO, OH 436141509

    Phone: (800) 288-8325

    Fax: (419) 866-5453

    Type: Mailing

  • 1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    CLINIC TOWER SUITE A7D

    LOS ANGELES, CA 900331029

    Phone: (916) 508-0371

    Type: Location

  • 1800 N CALIFORNIA ST

    STOCKTON, CA 952046019

    Phone: (209) 943-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210830001449IPathologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity714352$0
88341Special stained specimen slides to examine tissue, each additional procedure5221$0
88112Cell examination of specimen, selective cellular enhancement technique4840$0
88307Pathology examination of tissue using a microscope, moderately high complexity4229$0
88313Special stained specimen slides to examine tissue including interpretation and report3617$0
View full utilization report →

Insurance plans in this area (ZIP 94588)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820073455View full group profile
NameSpecialtyState
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YOH
P A T H O L O G YCA

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW FONG (MD)'s NPI?
Yes. ANDREW FONG (MD) is listed with NPI 1679928394 in the public NPI dataset.
Is ANDREW FONG (MD) still practicing?
ANDREW FONG (MD) is currently listed as active in the public NPI registry.
What is ANDREW FONG (MD)'s specialty?
The listing groups ANDREW FONG (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREW FONG (MD)?
ANDREW FONG (MD)'s geographic hint is Pleasanton, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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