Individual provider Active NPI

Andrew Hok-Cay Fung, DPT

  • Physical Therapist
  • Portola Valley, CA
National Provider Identifier
1336474899
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35859 Issued in CA
Practice address
150 Portola Rd
Suite B
Portola Valley, CA 94028-7852
Phone
(650) 275-7323
Fax
(650) 851-2356
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35859 CA Primary

Addresses

Primary practice location

150 Portola Rd
Suite B
Portola Valley, CA 94028-7852

Mailing address

4785 Beacon Hill Dr
Castro Valley, CA 94552-3702
Phone (310) 413-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35859CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Green Physical Therapy, PC PastSince Apr 6, 2023 Accepting new patients
Pacific Therx Past Accepting new patients
Pacific Therx, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1336474899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 BEACON HILL DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945523702",
            "telephone_number": "310-413-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD",
            "address_2": "SUITE B",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-275-7323",
            "fax_number": "650-851-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "ANDREW",
        "middle_name": "HOK-CAY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.