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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Wen Fung Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Fung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cerritos, CA 90703
- Reassigned Medicare billing, California enrollment
- 235 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 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 5
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.
Which organization bills Medicare for Kimberly Fung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fung reassigns Medicare benefits to Albion Medical Partners Of California West P C (Cerritos, 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 Kimberly 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 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 7 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
- **Bills Medicare through:** Albion Medical Partners Of California West P C (NPI 1073110607, Cerritos, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.