Pacific Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PACIFIC DERMATOLOGY INC

Practice address

5924 Stoneridge Dr Ste 101
Pleasanton, CA 94588-2750

Phone

(925) 426-8828

Fax

(925) 426-8812

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Hank Kwong Fung, MDNPI 1992852131

Title

MD/Owner

Phone

(925) 426-8828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hank K Fung, M

  • Dermatology Physician
  • Pleasanton, CA
  • NPI 1992852131
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1407609779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882750",
            "telephone_number": "925-426-8828",
            "fax_number": "925-426-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882750",
            "telephone_number": "925-426-8828",
            "fax_number": "925-426-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "HANK",
        "authorized_official_middle_name": "KWONG",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "925-426-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Overman, D.C.
• Margaret Jean Oxenford, NP
• P.N. Quang, D.D.S., Inc.
• Maria Veronica Pacana
• Sheryl Pacheco, PPS
• Anne Meade Paden, BA, BCAT
• Sandhya Padmanabhan, SPEECH LANGUAGE PATH
• Stephen James Page, O.D.
• Pain Medicine Consultans
• Pain Medicine Consultants, Inc.

• Dermatology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.

Verify at the official NPI Registry.