Individual provider Active NPI

Peter K Fung, MD

  • Interventional Cardiology Physician
  • Alhambra, CA
National Provider Identifier
1871519561
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G53944 Issued in CA
Practice address
220 S 1St St
Alhambra, CA 91801-3700
Phone
(626) 281-8663
Fax
(626) 281-6318
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G53944 CA Primary
Cardiovascular Disease Physician 207RC0000X G53944 CA

Addresses

Primary practice location

220 S 1St St
Alhambra, CA 91801-3700

Mailing address

235 E Badillo St
Covina, CA 91723-2116
Phone (626) 915-4700

Other practice location 1

289 W Huntington Dr Ste 401
Arcadia, CA 91007-3493
Phone (626) 254-0074

Other identifiers 2

IdentifierTypeStateIssuer
00G539440MedicaidCA
109922OtherCAABIM INTERVENTIONAL CARDIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000150 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0042100026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
86.41
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53944CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Cardiology Medical Group Inc Cardiovascular Disease CurrentSince Sep 28, 2024 Accepting new patients
Comprehensive Cardiovascular Specialists, a Medical Corporation CurrentSince Feb 1, 2000 Accepting new patients
The Wells Comprehensive Care System & Clinics, Inc. Current Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Alameda Health System Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

220 S 1st St
Ste 100
Alhambra, CA 91801

220 S 1st St
Alhambra, CA 91801
Phone (626) 281-8663

289 W Huntington Dr
Ste 401
Arcadia, CA 91007
Phone (626) 254-0074

235 E Badillo St
Covina, CA 91723
Phone (626) 793-2885

1850 S Azusa Ave
Ste 88
Hacienda Heights, CA 91745
Phone (626) 964-3040

2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321

101 E Beverly Blvd
Ste 103
Montebello, CA 90640
Phone (323) 728-0655

2201 W Beverly Blvd
Fl 2
Montebello, CA 90640

630 S Raymond Ave
Unit 204
Pasadena, CA 91105
Phone (626) 340-4888

625 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 793-4139

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: peter.fung@ccs.eclinicaldirectplus.com
  • Direct secure messaging: peter.fung.p166@direct.healthcarepartners.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunny Village Care CenterAlhambra, CA, CCN 055203 Skilled nursing facility 5% Or Greater Direct Ownership Interest (8%)
Direct Ownership Interest
Oct 15, 2010
Oct 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1871519561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232116",
            "telephone_number": "626-915-4700",
            "fax_number": "626-214-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 1ST ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013700",
            "telephone_number": "626-281-8663",
            "fax_number": "626-281-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 W Huntington Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073493",
            "country_code": "US",
            "telephone_number": "626-254-0074",
            "fax_number": "626-254-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNG",
        "first_name": "PETER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G53944",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G53944",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G539440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABIM INTERVENTIONAL CARDIOLOGY",
            "identifier": "109922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.