Active NPI
Kwok Fung Wong
- Home Health Registered Nurse
- San Bruno, CA
National Provider Identifier
1730723941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 769766
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 769766 | CA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Alphacare Corp | Current | Accepting new patients | |
| Alphacare Home Health Corp | Current | 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.
-
- Home Health Agency
- San Bruno, CA
- NPI 1134768294
-
- Acupuncturist
- San Bruno, CA
- NPI 1235853185
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.