Kristi Mari Funk, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

A73916 Issued in CA

Practice address

8900 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-1959

Phone

(310) 273-8002

Fax

(310) 273-8608

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kristi Mari Pado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 2, 2023 through May 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nova Surgicenter, Inc

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1285738682
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1821115825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD",
            "address_2": "STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111959",
            "telephone_number": "310-273-8002",
            "fax_number": "310-273-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111959",
            "telephone_number": "310-273-8002",
            "fax_number": "310-273-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "KRISTI",
        "middle_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A73916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "PADO",
            "middle_name": "MARI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas S Fuller, MD
• Functional Restoration Medical Center, Inc, (Beverly Hills 3T Imaging & Research Center)
• Functional Restoration Medical Center, Inc, (Roxbury Pet- CT Imaging)
• Fundaminsky Oral Facial DDS Inc
• Gennady M Fundaminsky, D.D.S
• Erich Nathan Funke, PT, DPT
• Robert Furse, MFT
• Isabelle Sophie Futsi, LMFT
• Future Health Physician Services P.C
• G and J Gross, Inc. (Mickey Fine Pharmacy)

• Surgical Oncology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.