Individual provider Active NPI

Kwok Fung Wong

  • Home Health Registered Nurse
  • San Bruno, CA
National Provider Identifier
1730723941
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
769766 Issued in CA
Practice address
903 Sneath LN Ste 230
San Bruno, CA 94066-2416
Phone
(650) 826-3375
Fax
(650) 826-3374
NPI assigned
Oct 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 769766 CA Primary

Addresses

Primary practice location

903 Sneath LN Ste 230
San Bruno, CA 94066-2416

Mailing address

903 Sneath LN Ste 230
San Bruno, CA 94066-2416
Phone (650) 826-3375

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

LicenseStateTypeSpecialty
769766CAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
One Alphacare Corp Current Accepting new patients
Alphacare Home Health Corp CurrentSince Jan 12, 2020 Accepting new patients

Locations

903 Sneath Ln
Ste 230
San Bruno, CA 94066
Phone (650) 826-3375

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1730723941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SNEATH LN STE 230",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662416",
            "telephone_number": "650-826-3375",
            "fax_number": "650-826-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SNEATH LN STE 230",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662416",
            "telephone_number": "650-826-3375",
            "fax_number": "650-826-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KWOK FUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "769766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.