Individual provider Active NPI

Emily Fung, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1720051329
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 17480 Issued in CA
Practice address
909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone
(415) 771-4366
Fax
(415) 771-6412
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 17480 CA Primary

Addresses

Primary practice location

909 Hyde St Ste 125
San Francisco, CA 94109-4832

Mailing address

909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone (415) 771-4366

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000875 CA Practitioner - Physician Assistant 3375500069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical GroupGroup PAC ID 4587669759, 3 clinicians

Practice addresses (Care Compare)

909 Hyde St
Suite 125
San Francisco, CA 94109-4832
Phone (415) 771-4366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 17480CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.fung@5319578091524.direct.elationemr.com
  • Direct secure messaging: emily.fung@299447199531012.direct.elationemr.com

Organizations & group practices 3

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 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1720051329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-771-4366",
            "fax_number": "415-771-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 125",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094832",
            "telephone_number": "415-771-4366",
            "fax_number": "415-771-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 17480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.