Organization Active NPI

Lit K. Fung, M.D., Inc., a Professional Medical Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Modesto, CA
National Provider Identifier
1285770529
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G59878 Issued in CA
Legal business name
LIT K. FUNG, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Practice address
1501 Oakdale Rd Ste 218
Modesto, CA 95355-3382
Phone
(209) 572-4222
Fax
(209) 572-4272
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Lit K Fung, M.D.NPI 1346240264
Title
President
Phone
(209) 572-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X G59878 CA Primary

Addresses

Primary practice location

1501 Oakdale Rd Ste 218
Modesto, CA 95355-3382

Mailing address

1501 Oakdale Rd Ste 218
Modesto, CA 95355-3382
Phone (209) 572-4222

Other identifiers 2

IdentifierTypeStateIssuer
P00014379OtherCARAILROAD MEDICARE
8503333MedicaidCA

Other names 1

  • Modesto Heart Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1285770529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OAKDALE RD STE 218",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553382",
            "telephone_number": "209-572-4222",
            "fax_number": "209-572-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OAKDALE RD STE 218",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553382",
            "telephone_number": "209-572-4222",
            "fax_number": "209-572-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIT K. FUNG, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "LIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-572-4222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G59878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00014379",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modesto Heart Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.