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DR. KENT KEITH FUNG MD
NPI 1689844318
Pediatrics in Pomona, CA

Active since March 10, 2008PECOS Enrolled
250 W BONITA AVE, SUITE 200, POMONA, CA 91767(909) 629-5067(909) 865-7688 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kent Keith Fung Md NPPES

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

DR. KENT KEITH FUNG MD (NPI 1689844318) is an individual pediatrics provider in Pomona, California, licensed in California (A98253) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689844318
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KENT KEITH FUNGCredential: MD
Location Address250 W BONITA AVE, SUITE 200Pomona, CA 91767-1863
Mailing Address250 W Bonita Ave, Suite 200Pomona, CA 91767-1863 · (909) 629-5067 · Fax (909) 865-7688
Phone(909) 629-5067
Fax(909) 865-7688
Sole ProprietorNo
Enumeration DateMarch 10, 2008
Last NPPES UpdateDecember 1, 2021
✔ NPI 1689844318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A98253
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
250 W BONITA AVE, Pomona, CA 91767
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kent Keith Fung Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kent Fung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
14 mi
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

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 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 14

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

DR. JAMES T. WARREN M.D.
Pediatrics
250 W BONITA AVE, #200
POMONA, CA 91767
Los Angeles County (909) 629-5067
BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION
Pain Medicine (Interventional Pain Medicine)
250 W BONITA AVE, SUITE 160
POMONA, CA 91767
Los Angeles County (909) 593-1002
DR. CARRIE E. KNOLL M.D.
Pediatrics
250 W BONITA AVE, #200
POMONA, CA 91767
Los Angeles County (909) 629-5067
JASON H. SHIN, MD, INC., A PROFESSIONAL MEDICAL CORPORATION
Clinic/Center
250 W BONITA AVE, SUITE 250
POMONA, CA 91767
Los Angeles County (909) 593-2031
DR. JASON HAESHIK SHIN M. D.
Internal Medicine (Gastroenterology)
250 W BONITA AVE, SUITE 250
POMONA, CA 91767
Los Angeles County (909) 593-2031
HOLLENBERG AGRAWAL KNOLL WARREN HONG FUNG TILLIS KAUSHAL MDS
Pediatrics
250 W BONITA AVE, #200
POMONA, CA 91767
Los Angeles County (909) 620-1935
DR. SANDRA A. HOLLENBERG M.D.
Pediatrics
250 W BONITA AVE, #200
POMONA, CA 91767
Los Angeles County (909) 629-5067
DR. BRYAN XIAO-QIU LEE MD
Pain Medicine (Interventional Pain Medicine)
250 W BONITA AVE, SUITE 160
POMONA, CA 91767
Los Angeles County (909) 593-1002

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 Kent Fung's NPI number?

The NPI number for Kent Fung is 1689844318. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Kent Fung located?

Kent Fung practices at 250 W Bonita Ave Suite 200, Pomona, CA 91767. The listed phone number is (909) 629-5067.

What is Kent Fung's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kent Fung enrolled in Medicare?

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

Which organization bills Medicare for Kent Fung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kent Fung reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, 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 Kent Fung'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 Kent Fung was last updated on December 1, 2021. 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.