CORY FUNG FNP-C
NPI 1730821141
Nurse Practitioner - Family in San Jose, CA
About Cory Fung Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORY FUNG FNP-C (NPI 1730821141) is an individual family provider in San Jose, California, licensed in California (95019734) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cory Fung Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cory Fung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, CA 94520
- Reassigned Medicare billing, California enrollment
- 530 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 95125 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95125
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 Cory Fung's NPI number?
The NPI number for Cory Fung is 1730821141. It was assigned to this individual provider in the NPPES registry on April 7, 2022.
Where is Cory Fung located?
Cory Fung practices at 1333 Meridian Ave, San Jose, CA 95125. The listed phone number is (408) 445-3400.
What is Cory Fung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cory Fung enrolled in Medicare?
Yes. Cory Fung is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cory Fung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cory Fung reassigns Medicare benefits to Contra Costa County (Concord, 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 Cory 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 Cory Fung was last updated on April 7, 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.
# Cory Fung, FNP-C · NPI 1730821141
Family physician in San Jose, California. Individual provider, active in the CMS NPPES registry since April 7, 2022.
## Identity
- **NPI:** 1730821141 (Entity type: Individual)
- **Enumerated:** April 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95019734 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1333 MERIDIAN AVE, San Jose, CA 95125-5212
- **Phone:** (408) 445-3400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Contra Costa County (NPI 1023188489, Concord, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730821141) · Data from the CMS NPPES public registry.