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

Calvin Chang Fong, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609309764

Calvin Chang Fong, MD is a Family Practice in Santa Monica, California. Graduated from Boston University School of Medicine in 2017, 9 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Boston University School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
2
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

2336 Santa Monica Blvd Ste 301
Santa Monica, CA 90404-2067
Phone: (310) 998-9118
Fax: (310) 829-9318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 757 Westwood Plz, Los Angeles, CA 90095-7419 — (818) 730-2015

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A160624 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609309764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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