Active NPI
Wen-Fu Kung, PT
- Physical Therapist
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293431
- Practice address
- 2821 Crow Canyon Rd
Ste 104
San Ramon, CA 94583-1659 - Phone
- (925) 838-4222
- Fax
- (925) 838-5806
- NPI assigned
- Apr 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01657000 | NJ | |
| Physical Therapist | 225100000X | 293431 | CA | Primary |
Addresses
Primary practice location
2821 Crow Canyon Rd
Ste 104
San Ramon, CA 94583-1659
Mailing address
2821 Crow Canyon Rd
Ste 104
San Ramon, CA 94583-1659
Phone (973) 917-3134
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Bernal Rd
San Jose, CA 95119-1396
Phone (408) 227-2141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293431 | CA | MD | Physical Therapist |
| 40QA01657000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Creek Fitness and Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Marshall T Lee Chiropractic, Inc. | Past | Accepting new patients | |
| Lee Chiropractic, Inc. | Past | Accepting new patients |
Locations
4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552
121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141
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.
-
- Physical Therapist
- San Jose, CA
- NPI 1063510337
-
- Chiropractor
- San Ramon, CA
- NPI 1619223021
-
- Chiropractor
- San Ramon, CA
- NPI 1548992019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1376997353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 CROW CANYON RD",
"address_2": "STE 104",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831659",
"telephone_number": "973-917-3134",
"fax_number": "973-917-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 CROW CANYON RD",
"address_2": "STE 104",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831659",
"telephone_number": "925-838-4222",
"fax_number": "925-838-5806"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNG",
"first_name": "WEN-FU",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-16",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01657000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.