Organization Active NPI

Gregory Fung MD Inc

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1275673790
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G41709 Issued in CA
Legal business name
GREGORY FUNG MD INC
Practice address
789 Vallejo Street
San Francisco, CA 94133-3834
Phone
(415) 982-6691
Fax
(415) 982-0914
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Gregory Fung, MD
Title
President
Phone
(415) 982-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G41709 CA Primary

Addresses

Primary practice location

789 Vallejo Street
San Francisco, CA 94133-3834

Mailing address

789 Vallejo Street
San Francisco, CA 94133-3834
Phone (415) 982-6691

Other identifiers 1

IdentifierTypeStateIssuer
00G417090MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1275673790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 VALLEJO STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333834",
            "telephone_number": "415-982-6691",
            "fax_number": "415-982-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 VALLEJO STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333834",
            "telephone_number": "415-982-6691",
            "fax_number": "415-982-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY FUNG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-982-6691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G41709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G417090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.