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

Nicholas Fong, DO

Individual provider Internal Medicine Physician · NPI 1053991711

Nicholas Fong, DO is an Internal Medicine in Walnut Creek, California. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1425 S Main St
Walnut Creek, CA 94596-5318
Phone: (925) 295-4000
Show map & directions

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

Additional practice locations (1)

  • 751 S Bascom Ave, San Jose, CA 95128-2604 — (408) 885-5000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A22670 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053991711
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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