Medical Board of California

Licensing details for: A 178957

Name: FONG, ANNA MICHELLE

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: California Northstate University College of Medicine

Graduation Year: 2020

Previous Names: Fong, Anna Michelle

Address of Record

1011 Baldwin Park Blvd
BALDWIN PARK CA 91706-5806
LOS ANGELES county
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Issuance Date

May 24, 2022

Expiration Date

July 31, 2026

Current Date / Time

July 6, 2025
10:17:56 PM

Public Record Actions

Administrative Disciplinary Actions (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: The Medical Board's public disclosure screens are updated periodically as new information becomes available.Please contact the Central File Room at (916) 263-2525 or at 2005 Evergreen Street, Suite 1200, Sacramento, CA 95815, to obtain a copy of public documents at a minimal charge.

Court Order (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: This information would be provided if a physician's practice has been temporarily restricted or suspended pursuant to a court order.Please contact the Central File Room at (916) 263-2525 or at 2005 Evergreen Street, Suite 1200, Sacramento, CA 95815, to obtain a copy of the public documents.

Misdemeanor Conviction (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: California Business and Professions Code section 2027(b)(5) states all misdemeanor convictions resulting in a disciplinary action or accusation that is not subsequently withdrawn or dismissed shall be posted on the Internet. Upon receipt of a certified copy of an expungement order granted pursuant to Section 1203.4 of the Penal Code from a licensee, the Medical Board shall, within six months of receipt of the expungement order, post notification of the expungement order and the date thereof on its website.

Probationary License (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: License issued on a probationary basis subject to terms and conditions. Practice is permitted unless otherwise specified or license expires.

Felony Conviction (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: The information provided only includes felony convictions that are known to the Board. All felony convictions known to the Board are reviewed and administrative action is taken only if it is determined that a violation of the Medical Practice Act occurred. For more information regarding felony convictions, contact the court of jurisdiction listed below.

Malpractice Judgment (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: A malpractice judgment is a payment for damages and does not necessarily reflect that the physician's medical competence is below the standard of care.The Medical Board reviews all such reported judgments and action is taken only if it is determined that a violation of the Medical Practice Act occurred.The Medical Board is prohibited by law from releasing a copy of the judgment report or any other information concerning the judgment.For more information contact the court of jurisdiction listed below.

Hospital Disciplinary Action (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: The action taken by this healthcare facility against this physician's staff privileges to provide healthcare services at this facility was for a medical disciplinary cause or reason.The Medical Board is authorized by law to disclose only revocations and terminations of staff privileges.The Medical Board is prohibited from releasing a copy of the actual report or any other information.

LICENSE ISSUED WITH PUBLIC LETTER OF REPRIMAND (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: The Medical Board of California has concurrently issued the licensee a medical license and a Public Letter of Reprimand for a minor violation that does not require probationary status or warrant denial of licensure. The issuance of a Public Letter of Reprimand is not considered disciplinary action but is reported to the National Practitioner Data Bank.

Administrative Citation Issued (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: A citation and/or fine has been issued for a minor violation of the law. This is not considered disciplinary action under California law but is an administrative action. Payment of the fine amount represents satisfactory resolution of this matter.

Administrative Action Taken by Other State or Federal Government (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: This information is provided by another state/federal government agency. The Medical Board of California may take administrative action based on the action imposed by another state/federal government agency. For more information or verification, contact the agency listed below that imposed the action.

Arbitration Award (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: An arbitration award is a payment for damages and does not necessarily reflect that the physician's medical competence is below the standard of care.The Medical Board reviews all such reported arbitration awards and action is taken only if it is determined that a violation of the Medical Practice Act occurred.The Medical Board is prohibited by law from releasing a copy of the arbitration award report or any other information concerning the award.

Malpractice Settlements (NO INFORMATION TO MEET THE CRITERIA FOR POSTING)

DISCLAIMER: A settlement entered into by the licensee is a resolution of a claim for damages for death or personal injury caused by the licensee's negligence, error, or omission in practice, or by his or her rendering of unauthorized professional services.The Medical Board is required by law to disclose certain information related to the existence of multiple settlements made on or after January 1, 2003 in an amount of $30, 000 or more.

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: FONG, ANNA MICHELLE

License/Registration Type: Postgraduate Training License

License Number: 3647 Primary Status: License Canceled

Address :
505 S Main St Ste 525
ORANGE CA 92868-4509
ORANGE COUNTY

Map

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status

Decline to State

Postgraduate Training Years

Decline to State

Primary Area of Practice

Decline to State

Secondary Area of Practice

Decline to State

ABMS Certifications

Other - Decline to State

Are you retired?

Decline to state

Practice Activities

Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State

Primary Practice Location

Decline to State

Secondary Practice Location

Decline to State

Are you Hispanic, Latino/a, or of Spanish origin?

Decline to State

Race

Decline to State

Language Fluency

Decline to State

Gender Identity

Decline to State