San Francisco Digestive Disease Medical Group Inc a Prof Corp

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP

Practice address

1 Shrader St Ste 500
San Francisco, CA 94117-1044

Phone

(415) 362-3336

Fax

(415) 362-7542

NPI assigned

Dec 11, 2006

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Fung, MDNPI 1700970795

Title

President

Phone

(415) 362-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Fung, MD

  • Gastroenterology Physician
  • San Francisco, CA
  • NPI 1700970795
  Medicare reassignment Care Compare group Authorized official
• Kevin Michael Man, M.D.

  • Specialist
  • San Francisco, CA
  • NPI 1841350832

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• James Henry Reed, M.D.

  • Specialist
  • San Francisco, CA
  • NPI 1851451934

  Gastroenterology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1417017435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171044",
            "telephone_number": "415-362-3336",
            "fax_number": "415-362-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171044",
            "telephone_number": "415-362-3336",
            "fax_number": "415-362-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-362-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1417017435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Francisco Department of Public Health
• San Francisco Department of Public Health (Child Crisis Unit)
• San Francisco Department of Public Health (Environmental Health Branch)
• San Francisco Department of Public Health
• San Francisco Dermatology Inc
• San Francisco Drug Court
• San Francisco Ear Nose and Throat Medical Group Inc
• San Francisco Emergency Medical Associates
• San Francisco Endoscopy Center LLC
• San Francisco Eye Institute Inc (San Francisco Eye Institute)

• Gastroenterology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.