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

Taylor Raeanne Fong, PA

Individual provider Physician Assistant · NPI 1689399289

Taylor Raeanne Fong, PA is a Physician Assistant in Las Vegas, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone: (702) 732-1493
Fax: (702) 732-1080
Show map & directions

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

Additional practice locations (1)

  • 4425 S Pecos Rd Ste 6, Las Vegas, NV 89121-5037 — (702) 333-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2787 (NV)

Record details

NPI number1689399289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

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