Individual provider Active NPI

Kin-Kee Pun, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Francisco, CA
National Provider Identifier
1033127519
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A50479 Issued in CA
Practice address
950 Stockton St
Suite 375
San Francisco, CA 94108
Phone
(415) 421-8999
Fax
(415) 421-5578
NPI assigned
Aug 3, 2006
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A50479 CA Primary

Addresses

Primary practice location

950 Stockton St
Suite 375
San Francisco, CA 94108

Mailing address

950 Stockton St
Suite 375
San Francisco, CA 94108
Phone (415) 421-8999

Other identifiers 2

IdentifierTypeStateIssuer
00A504792MedicaidCA
00A504791OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000109 CA Practitioner - Endocrinology 4688866528 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50479CAMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1033127519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST",
            "address_2": "SUITE 375",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-421-8999",
            "fax_number": "415-421-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST",
            "address_2": "SUITE 375",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-421-8999",
            "fax_number": "415-421-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUN",
        "first_name": "KIN-KEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A50479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A504792",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A504791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.