Serena Fung, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 38563 Issued in CA

Practice address

1380 Lead Hill Blvd Ste 110
Roseville, CA 95661-2997

Phone

(916) 672-8121

Fax

(408) 689-8195

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Serena Lai 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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 1, 2024 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Saratoga Center for Guidance/Growth Marriage/Family Counseling Inc

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1871023465
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1831256569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612997",
            "telephone_number": "916-672-8121",
            "fax_number": "408-689-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612997",
            "telephone_number": "916-672-8121",
            "fax_number": "408-689-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "SERENA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 38563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "LAI",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcy Uno Fujioka, PHD
• Sean K. Fujioka, MD
• Full Cup Wellness Psychology Professional Corporation
• Teja Fuller
• Alexander Fung, PHARM.D.
• Victoria Furmuzan
• Fyidoctors of California, Inc.
• Kristel Roelandz Gabelich
• Gabriel Jacob MD, a Medical Corporation
• Michelle Telesfora Gabrielli, FNP

• All providers in Roseville, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.