Individual provider Active NPI

Hank K Fung, M

  • Dermatology Physician
  • Pleasanton, CA
National Provider Identifier
1992852131
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A61143 Issued in CA
Practice address
5924 Stoneridge Dr
Ste 101
Pleasanton, CA 94588-2750
Phone
(925) 426-8828
Fax
(925) 426-8812
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A61143 CA Primary

Addresses

Primary practice location

5924 Stoneridge Dr
Ste 101
Pleasanton, CA 94588-2750

Mailing address

5924 Stoneridge Dr
Ste 101
Pleasanton, CA 94588-2750
Phone (925) 426-8828

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
I20080112000120 CA Practitioner - Dermatology 3274614599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5924 Stoneridge Dr
Suite 101
Pleasanton, CA 94588-2750
Phone (925) 426-8828

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions638
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dermatology Inc Dermatology CurrentSince May 4, 2024 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

5924 Stoneridge Dr
Ste 101
Pleasanton, CA 94588
Phone (925) 426-8828

Interoperability endpoints

  • Direct secure messaging: hfung@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1992852131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR",
            "address_2": "STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882750",
            "telephone_number": "925-426-8828",
            "fax_number": "925-426-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR",
            "address_2": "STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882750",
            "telephone_number": "925-426-8828",
            "fax_number": "925-426-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "HANK",
        "middle_name": "K",
        "credential": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A61143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.