Active NPI
Vincent Kin Kei Fung, D.D.S.
- Dentist
- San Jose, CA
National Provider Identifier
1386900504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64365
- Practice address
- 451 Blossom Hill Rd Ste 20
San Jose, CA 95123-1658 - Phone
- (408) 337-3659
- NPI assigned
- Apr 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64365 | CA | Primary |
Addresses
Primary practice location
451 Blossom Hill Rd Ste 20
San Jose, CA 95123-1658
Mailing address
451 Blossom Hill Rd Ste 20
San Jose, CA 95123-1658
Phone (408) 337-3659
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64365 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1386900504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 BLOSSOM HILL RD STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231658",
"telephone_number": "408-337-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 BLOSSOM HILL RD STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231658",
"telephone_number": "408-337-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "VINCENT KIN KEI",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-02",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.