NPIMap

Individual provider Active NPI

Wesley Lee Fung, M.D.

  • Vascular Surgery Physician
  • Tarzana, CA
National Provider Identifier
1861679979
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A93327 Issued in CA
Practice address
18370 Burbank Blvd Ste 607
Tarzana, CA 91356-2833
Phone
(747) 265-6252
Fax
(747) 265-6892
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A93327 CA
Vascular Surgery Physician 2086S0129X A93327 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd Ste 607
Tarzana, CA 91356-2833

Mailing address

18370 Burbank Blvd Ste 607
Tarzana, CA 91356-2833
Phone (747) 265-6252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000609 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 3072667682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Vascular Associates IncGroup PAC ID 2163434861, 3 clinicians

Practice addresses (Care Compare)

16917 Enadia Way
Van Nuys, CA 91406-3602
Phone (818) 401-1010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal14
Leg revascularization (restoring blood flow)56
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93327CAMDClinical Social Worker
A93327CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Mar 8, 2022 Accepting new patients
North la Vascular and Endovascular Surgery Corp Vascular Surgery CurrentSince May 4, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Mar 8, 2022 Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
West Hills Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

16311 Ventura Blvd
Ste 1080P
Encino, CA 91436
Phone (747) 265-6252

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

18370 Burbank Blvd
Ste 607
Tarzana, CA 91356
Phone (818) 342-2123

7230 Medical Center Dr
West Hills, CA 91307
Phone (818) 340-9303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26163/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 5

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1861679979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 607",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562833",
            "telephone_number": "747-265-6252",
            "fax_number": "747-265-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 607",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562833",
            "telephone_number": "747-265-6252",
            "fax_number": "747-265-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "WESLEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A93327",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A93327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.