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MR. EDMOND K FUNG D.D.S.
NPI 1093919466
Dentist - General Practice in Pinole, CA

Active since June 12, 2007PECOS Enrolled
1500 TARA HILLS DR, SUITE 104, PINOLE, CA 94564(510) 724-2360(510) 724-2362 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Edmond K Fung D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDMOND K FUNG D.D.S. (NPI 1093919466) is an individual general practice provider in Pinole, California, licensed in California (42469) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093919466
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. EDMOND K FUNGCredential: D.D.S.
Location Address1500 TARA HILLS DR, SUITE 104Pinole, CA 94564-2577
Mailing Address1275 Cinnamon CtWalnut Creek, CA 94596-6402 · (925) 944-9873
Phone(510) 724-2360
Fax(510) 724-2362
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093919466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 42469
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1500 TARA HILLS DR, Pinole, CA 94564
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edmond K Fung D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94564 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KOUROSH HARANDI DDS. MS. INC.
Clinic/Center (Dental)
1500 TARA HILLS DR, SUITE 202
PINOLE, CA 94564
Contra Costa County (510) 724-3666
DR. KOUROSH HARANDI DDS., MS.
Dentist (Periodontics)
1500 TARA HILLS DR, STE 202
PINOLE, CA 94564
Contra Costa County (510) 724-3666
DR. CRAIG HEALY D.D.S.
Dentist (General Practice)
1500 TARA HILLS DR, SUITE 200
PINOLE, CA 94564
Contra Costa County (510) 724-7575
SHAYAN BAYAT, DDS, INC
Dentist
1500 TARA HILLS DR, SUITE 104
PINOLE, CA 94564
Contra Costa County (510) 724-7474
THOMAS A. BOYCE, D.D.S., INC
Dentist (General Practice)
1500 TARA HILLS DR, SUITE 104
PINOLE, CA 94564
Contra Costa County (510) 724-7474
DR. HOSS ABAR D.D.S., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
1500 TARA HILLS DR, SUITE #204
PINOLE, CA 94564
Contra Costa County (510) 724-4746
DR. GARY DAVID SABBADINI D.D.S.
Dentist (Pediatric Dentistry)
1500 TARA HILLS DR, SUITE 100
PINOLE, CA 94564
Contra Costa County (510) 724-4400
DR. THOMAS A. BOYCE D.D.S.
Dentist (General Practice)
1500 TARA HILLS DR, SUITE 104
PINOLE, CA 94564
Contra Costa County (510) 724-7474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmond Fung's NPI number?

The NPI number for Edmond Fung is 1093919466. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Edmond Fung located?

Edmond Fung practices at 1500 Tara Hills Dr Suite 104, Pinole, CA 94564. The listed phone number is (510) 724-2360.

What is Edmond Fung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Edmond Fung enrolled in Medicare?

Yes. Edmond Fung is registered in the Medicare PECOS enrollment system.

What insurance does Edmond Fung accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Edmond Fung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmond Fung was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.