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

Clarisse Melinda Fong San Juan, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1245750132

Clarisse Melinda Fong San Juan, MD is a Pain Management in New Haven, Connecticut. Graduated from Loma Linda University School of Medicine in 2017, 9 years ago. Practices with Yale University, a 2,618-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
9
Trained at
Loma Linda University School of Medicine
Licensed in
CT
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

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 111 Goose Ln, Guilford, CT 06437-5101 — (203) 204-0400
  • 1 Long Wharf Dr Fl 6, New Haven, CT 06511-5991 — (203) 688-8800
  • 659 George St, New Haven, CT 06511-5324 — (203) 680-7542
  • 8 Devine St, North Haven, CT 06473-2172 — (877) 925-3637

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 72590 (CT)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 72590 (CT)

Record details

NPI number1245750132
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2017
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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