SEAN FUNG-ON DNP, APRN, FNP-C, RN
NPI 1316764301
Family Medicine in San Jose, CA
About Sean Fung-on Dnp, Aprn, Fnp-c, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN FUNG-ON DNP, APRN, FNP-C, RN (NPI 1316764301) is an individual family medicine provider in San Jose, California, licensed in California (95031632) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sean Fung-on Dnp, Aprn, Fnp-c, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sean Fung-on reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: James Petros MD Inc
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95124
SAN JOSE, CA 95124
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 Sean Fung-on's NPI number?
The NPI number for Sean Fung-on is 1316764301. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Sean Fung-on located?
Sean Fung-on practices at 1604 Blossom Hill Rd Ste 10, San Jose, CA 95124. The listed phone number is (408) 528-8833.
What is Sean Fung-on's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sean Fung-on enrolled in Medicare?
Yes. Sean Fung-on is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sean Fung-on's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Fung-on reassigns Medicare benefits to James Petros, M.D., Inc. (Los Gatos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Fung-on's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sean Fung-on was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sean Fung-On, DNP, APRN, FNP-C, RN · NPI 1316764301
Family Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1316764301 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 95031632 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1604 BLOSSOM HILL RD STE 10, San Jose, CA 95124-6350
- **Phone:** (408) 528-8833
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** James Petros, M.D., Inc. (NPI 1336448299, Los Gatos, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** September 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316764301) · Data from the CMS NPPES public registry.