KIMBERLY WEN FUNG FNP-BC
NPI 1780225391
Nurse Practitioner - Primary Care in Upland, CA
About Kimberly Wen Fung Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WEN FUNG FNP-BC (NPI 1780225391) is an individual primary care provider in Upland, California, licensed in California (95012560) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Wen Fung Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91786 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Fung's NPI number?
The NPI number for Kimberly Fung is 1780225391. It was assigned to this individual provider in the NPPES registry on October 4, 2019.
Where is Kimberly Fung located?
Kimberly Fung practices at 141 W Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 296-8800.
What is Kimberly Fung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kimberly Fung enrolled in Medicare?
Yes. Kimberly Fung is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kimberly Fung was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly Wen Fung, FNP-BC · NPI 1780225391
Primary Care physician in Upland, California. Individual provider, active in the CMS NPPES registry since October 4, 2019.
## Identity
- **NPI:** 1780225391 (Entity type: Individual)
- **Enumerated:** October 4, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95012560 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 141 W FOOTHILL BLVD, Upland, CA 91786-8705
- **Phone:** (909) 296-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780225391) · Data from the CMS NPPES public registry.