Active NPI
Linda Fung
- Occupational Therapist
- Walnut Creek, CA
National Provider Identifier
1104214626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13336
- Practice address
- 1580 Geary Rd
Walnut Creek, CA 94597-2700 - Phone
- (925) 954-1436
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13336 | CA | Primary |
Addresses
Primary practice location
1580 Geary Rd
Walnut Creek, CA 94597-2700
Mailing address
3210 Fiji LN
Alameda, CA 94502-6919
Other practice location 1
25919 Gading Rd
Hayward, CA 94544-2725
Phone (510) 782-8424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1104214626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 FIJI LN",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 GEARY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972700",
"telephone_number": "925-954-1436"
}
],
"practiceLocations": [
{
"address_1": "25919 Gading Rd",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945442725",
"country_code": "US",
"telephone_number": "510-782-8424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUNG",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.