Rebecca Fung, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16243 Issued in CA

Practice address

763 Polhemus Road
Suite #2
San Mateo, CA 94402

Phone

(650) 434-3033

NPI assigned

Oct 17, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Whitewater University of California Acupuncture Clinic

  • Student in an Organized Health Care Education/Training Program
  • San Jose, CA
  • NPI 1043884273
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1902200140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 POLHEMUS ROAD",
            "address_2": "SUITE #2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "650-434-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 POLHEMUS ROAD",
            "address_2": "SUITE #2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "650-434-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Rafael Fuentes Jr.
• Daniele Fuller
• Kelsey Fuller, LCSW
• Fung Chiropractic
• Edmond Fung, D.C.
• Tracey M Fung, D.C.
• Madelynne Rae Gabriele
• Raymond R Gaeta, M.D.
• Robin Staci Gaffke Villavicencio, BA, ATC
• Dwight David Gaggero, MD

• Acupuncturist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.