Gary Kingman Fung, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC25007 Issued in CA

Practice address

840 Hinckley Rd Ste 110
Burlingame, CA 94010-1505

Phone

(415) 202-7500

NPI assigned

Feb 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1083039374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281825",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941281825",
            "telephone_number": "415-202-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HINCKLEY RD STE 110",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101505",
            "telephone_number": "415-202-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "GARY",
        "middle_name": "KINGMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC25007",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC25007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Froerer, D.D.S.
• Nancy Milena Fuentes Portillo
• Kevin Akira Fukuda, MD
• Susan L Fullemann, M.D
• Julie Fulmer, PHARMD
• Kelly Ann Fung, M.D.
• Lenora Verne Fung, MD
• Jennifer Funk, M.D.
• Fyxr Healers, Inc
• Fyxr Health, PBC

• Nutrition Chiropractor in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.