Active NPI
Dianna Fung, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1609201961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62631
- Practice address
- 950 Stockton St
Ste 208
San Francisco, CA 94108-1633 - Phone
- (415) 570-7745
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62631 | CA | Primary |
Addresses
Primary practice location
950 Stockton St
Ste 208
San Francisco, CA 94108-1633
Mailing address
950 Stockton St
Ste 208
San Francisco, CA 94108-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62631 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1609201961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 STOCKTON ST",
"address_2": "STE 208",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 STOCKTON ST",
"address_2": "STE 208",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081633",
"telephone_number": "415-570-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "DIANNA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.