K PHUN MEDICAL CLINIC INC
NPI 1558018200
Clinic/Center - Adult Mental Health in Rosemead, CA
About K Phun Medical Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
K PHUN MEDICAL CLINIC INC (NPI 1558018200) is a healthcare organization registered as an adult mental health in Rosemead, California and active in the NPI registry since March 2022. The organization lists Kenneth Phun, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
K Phun Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to K Phun Medical Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 K Phun Medical Clinic Inc's NPI number?
The NPI number for K Phun Medical Clinic Inc is 1558018200. It was assigned to this organization in the NPPES registry on March 2, 2022.
Where is K Phun Medical Clinic Inc located?
K Phun Medical Clinic Inc is located at 2418 San Gabriel Blvd, Rosemead, CA 91770. The listed phone number is (626) 288-7321.
What is K Phun Medical Clinic Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is K Phun Medical Clinic Inc enrolled in Medicare?
Yes. K Phun Medical Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through K Phun Medical Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to K Phun Medical Clinic Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for K Phun Medical Clinic Inc was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# K Phun Medical Clinic Inc · NPI 1558018200
Adult Mental Health organization in Rosemead, California. Organization record, active in the CMS NPPES registry since March 2, 2022.
## Identity
- **NPI:** 1558018200 (Entity type: Organization)
- **Enumerated:** March 2, 2022
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Kenneth Phun, PRESIDENT
## Practice location
- **Address:** 2418 SAN GABRIEL BLVD, Rosemead, CA 91770-3674
- **Phone:** (626) 288-7321 · **Fax:** (626) 571-5275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558018200) · Data from the CMS NPPES public registry.