Individual provider Active NPI

Qingquan Fu, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1578673620
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C53780 Issued in CA
Practice address
818 Jackson St Ste 202
San Francisco, CA 94133-4849
Phone
(415) 312-9094
Fax
(415) 795-9691
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 C53780 CA Primary

Addresses

Primary practice location

818 Jackson St Ste 202
San Francisco, CA 94133-4849

Mailing address

818 Jackson St Ste 202
San Francisco, CA 94133-4849
Phone (415) 312-9094

Other identifiers 1

IdentifierTypeStateIssuer
2737740MedicaidCA

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
I20100115000405 CA Practitioner - Internal Medicine 8729079470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

818 Jackson St
Suite 202
San Francisco, CA 94133-4849
Phone (415) 312-9094

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53780CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qingquan Medical Inc CurrentSince Mar 13, 2014 Accepting new patients

Locations

818 Jackson St
Ste 202
San Francisco, CA 94133
Phone (415) 312-9094

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: qingquan.fu@66176123666436.direct.elationemr.com
  • Direct secure messaging: qingquan.fu@11050461822980.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1578673620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 JACKSON ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334849",
            "telephone_number": "415-312-9094",
            "fax_number": "415-795-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 JACKSON ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334849",
            "telephone_number": "415-312-9094",
            "fax_number": "415-795-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "QINGQUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.