Active NPI
Peter K Fung, MD
- Interventional Cardiology Physician
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- G53944
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G539440 | Medicaid | CA | |
| 109922 | Other | CA | ABIM 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
Enrollment records 1
Care Compare profile
Medicare Care CompareHospital & facility affiliations
- Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.66 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| G53944 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Cardiology Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Comprehensive Cardiovascular Specialists, a Medical Corporation | Current | 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
- peter.fung@ccs.eclinicaldirectplus.com
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sunny Village Care Center | 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.
-
- Skilled Nursing Facility
- Alhambra, CA
- NPI 1730483058
5% Or Greater Direct Ownership Interest, Direct Ownership Interest
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.
-
- Specialist
- Alhambra, CA
- NPI 1407889637
-
- Cardiovascular Disease Physician
- Pasadena, CA
- NPI 1255382545
-
- Specialist
- San Gabriel, CA
- NPI 1891135562
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Alhambra, CA
- NPI 1811099674
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.