Katherine Fundora

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

507 E Cypress Ave FRNT
Burbank, CA 91501-3237

Phone

(661) 210-8905

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: katherine.fundora.p2@direct.mpmccorp.nextgenshare.com
• Direct secure messaging: kfundora24887@sharphealthcare.direct-ci.com

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.

• Valley Obstetrics & Gynecology Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Colton, CA
  • NPI 1144304817
  Medicare reassignment
• West Coast OB/GYN, Inc.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
  • NPI 1447216106
  Medicare reassignment

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1508425281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E CYPRESS AVE FRNT",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E CYPRESS AVE FRNT",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013237",
            "telephone_number": "661-210-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDORA",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carolina Fuentes Benitez, MS, LMFT
• Alexa Fuentes
• Maria Fuenzalida, LCSW
• Full Hearts Hospice Care, Inc.
• Full Lotus Health
• Darlene Fung
• Felicia Fung
• Maria Madeline Furlano, L.AC.
• William Mitchell Furuyama
• G & E Hospice Care, Inc

• Physician Assistant in Burbank, CA
• Providers in Burbank, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.