Individual provider Active NPI

Maple M Fung, M.D.

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1316901101
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A76595 Issued in CA
Practice address
8885 Rio San Diego Dr Ste 212
San Diego, CA 92108-1626
Phone
(619) 299-2350
Fax
(619) 297-8379
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A76595 CA Primary

Addresses

Primary practice location

8885 Rio San Diego Dr Ste 212
San Diego, CA 92108-1626

Mailing address

9373 Hazard Way Ste 200
Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000627 CA Practitioner - Nephrology 0648168641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of California, San Diego School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians

Practice addresses (Care Compare)

8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76595CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Nov 19, 2024 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Nov 19, 2024 Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
New York Downtown Medical Associates Past Accepting new patients

Locations

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mfung73468@direct.acumenmd.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1316901101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081626",
            "telephone_number": "619-299-2350",
            "fax_number": "619-297-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "MAPLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A76595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.