Active NPI
Lit K. Fung, M.D., Inc., a Professional Medical Corporation
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Modesto, CA
National Provider Identifier
1285770529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G59878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lit K Fung, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00014379 | Other | CA | RAILROAD MEDICARE |
| 8503333 | Medicaid | CA |
Other names 1
- Modesto Heart Surgery
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Modesto, CA
- NPI 1346240264
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.