Individual provider Active NPI

Mei PO Kung, M.D.

  • Internal Medicine Physician
  • San Leandro, CA
National Provider Identifier
1407939465
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74051 Issued in CA
Practice address
237 Estudillo Ave
Suite 203
San Leandro, CA 94577-4725
Phone
(510) 315-7196
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74051 CA Primary

Addresses

Primary practice location

237 Estudillo Ave
Suite 203
San Leandro, CA 94577-4725

Mailing address

237 Estudillo Ave Ste 203
San Leandro, CA 94577-4723
Phone (510) 315-7196

Other identifiers 1

IdentifierTypeStateIssuer
00A740510MedicaidCA

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
I20051117000225 CA Practitioner - Internal Medicine 8224057419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

237 Estudillo Ave
Suite 203
San Leandro, CA 94577-4723
Phone (510) 969-7732

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74051CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mei PO Kung M.D. Inc. Internal Medicine CurrentSince Feb 16, 2005 Accepting new patients
Martin Memorial Physician Corporation Inc PastSince Apr 1, 2004 Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients
Ho-Yin Li, MD, Inc PastSince Oct 1, 2005 Accepting new patients

Locations

237 Estudillo Ave
Ste 203
San Leandro, CA 94577
Phone (510) 315-7196

Organizations & group practices 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1407939465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ESTUDILLO AVE STE 203",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774723",
            "telephone_number": "510-315-7196",
            "fax_number": "510-315-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 ESTUDILLO AVE",
            "address_2": "SUITE 203",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774725",
            "telephone_number": "510-315-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "MEI",
        "middle_name": "PO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A740510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.