Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian D. Fong, MD

Individual provider Emergency Medicine Physician · NPI 1033141676

Brian D. Fong, MD is an Emergency Medicine in San Pedro, California. Graduated from New York Medical College in 1995, 31 years ago. Practices with Southern California Emergency Medical Group, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
New York Medical College
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 W 7th St
San Pedro, CA 90732-3505
Phone: (310) 514-5350
Fax: (310) 514-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A68152 (CA)

Record details

NPI number1033141676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1995 (31 years in practice)
Group practice Southern California Emergency Medical Group — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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