DR. MAXWELL FUNG (NPI# 1134178973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134178973 |
| Entity Type | Individual |
| Full Name | DR. MAXWELL FUNG |
| Credential | MD |
| Practice Address |
3301 C St Ste. 1300 Sacramento CA 95816-3300 |
| Practice Telephone | 9167346111 |
| Mailing Telephone | 9167346378 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | G80754 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G80754 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3301 C ST STE. 1300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235138868 | Diagnostic Pathology Medical Group Inc | Pathology | 3301 C St, #200e, Sacramento, CA 95816-3300 | 2005-07-15 |
| 1457759359 | Kimberly Ward | Physician Assistant | 3301 C St, Bldg 550, Sacramento, CA 95816-3300 | 2014-12-09 |
| 1306194584 | Whitney Fisk | Dermatology | 3301 C St, Suite 1300, Sacramento, CA 95816-3300 | 2012-08-21 |
| 1154684827 | Forum Bhupendra Patel | Clinical Medical Laboratory | 3301 C St, #1400, Sacramento, CA 95816-3300 | 2012-06-19 |
| 1962778928 | Kory K Parsi | Dermatology | 3301 C St, Suite 1300, Sacramento, CA 95816-3300 | 2012-03-23 |
| 1942575303 | Neha Prakash | Dermatology | 3301 C St, Suite 1300, Sacramento, CA 95816-3300 | 2012-03-19 |
| 1538456090 | Fallon Nassiem Agahi Lopez | Physician Assistant | 3301 C St, Bldg 550, Sacramento, CA 95816-3300 | 2011-07-06 |
| 1346552023 | Mondhipa Ratnarathorn | Dermatology | 3301 C St, Suite 1400, Sacramento, CA 95816-3300 | 2010-07-09 |
| 1114246154 | Oma N Agbai | Dermatology | 3301 C St, Sacramento, CA 95816-3300 | 2010-05-28 |
| 1124259569 | Steven W Lin | Student in an Organized Health Care Education/Training Program | 3301 C St, 1400, Sacramento, CA 95816-3300 | 2009-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730141052 | Peter John Lynch | Dermatology | 3301 C St, 1400, Sacramento, CA 95816-3300 | 2006-04-03 |
| 1346218054 | Keira Barr | Dermatology | 3301 C St, Suite 1400, Sacramento, CA 95816-3300 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
| 1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
| 1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
| 1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
| 1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
| 1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
| 1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
| 1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
| 1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.