Sean Fung-on, DNP, APRN, FNP-C, RN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95031632 Issued in CA

Practice address

1604 Blossom Hill Rd Ste 10
San Jose, CA 95124-6350

Phone

(408) 528-8833

NPI assigned

Sep 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Vermont College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1336448299
  Medicare reassignment Care Compare group NPD
• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • Mountain View, CA
  • NPI 1235872060
  NPD
• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Leandro, CA
  • NPI 1710620554
  NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1316764301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 W EL CAMINO REAL APT 426",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402298",
            "telephone_number": "954-226-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BLOSSOM HILL RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246350",
            "telephone_number": "408-528-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG-ON",
        "first_name": "SEAN",
        "credential": "DNP, APRN, FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95031632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fun N Go Non Medical Transport
• Fun Zone Kids Therapy
• Raymond Funada, D.D.S.
• Joan Marie Funari
• Hallie Gwen Balani Funcion
• Cory Fung, FNP-C
• Jennalynn Grace Fung, PHARMD
• Randolph Fung, MD
• Shunhang Josiah Fung, R.PH
• Vincent Kin Kei Fung, D.D.S.

• Family Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.