MICHELE WING-SZE MAK-FUNG (NPI# 1174661086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174661086 |
| Entity Type | Individual |
| Full Name | MICHELE WING-SZE MAK-FUNG |
| Credential | M.D. |
| Practice Address |
2420 Samaritan Dr San Jose CA 95124-3907 |
| Practice Telephone | 4083695600 |
| Practice Fax Number | 4085587949 |
| Mailing Telephone | 4083695600 |
| Mailing Fax Number | 4085587949 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | C53614 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2420 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770567059 | Rossitza Z Lazova | Dermatology | 2420 Samaritan Dr, San Jose, CA 95124-3907 | 2005-12-01 |
| 1639425887 | Lauren B Hirsch | Physician Assistant | 2420 Samaritan Dr, San Jose, CA 95124-3907 | 2012-07-25 |
| 1356572465 | Orchard Creek Surgery Center | Clinic/Center | 2420 Samaritan Dr, San Jose, CA 95124-3907 | 2009-08-06 |
| 1265639538 | Patricia Stella Iorfino | Pathology | 2420 Samaritan Dr, 2nd Floor, San Jose, CA 95124-3907 | 2007-06-29 |
| 1457319022 | Joseph B Cirone | Pediatrics | 2420 Samaritan Dr, San Jose, CA 95124-3907 | 2006-05-03 |
| 1407813678 | Andrew J Lan | Pediatrics | 2420 Samaritan Dr, San Jose, CA 95124-3907 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568767663 | D. Thomas Urban M.d., Inc | Dermatology | 6501 Crown Blvd., Suite #106a, San Jose, CA 95120-2903 | 2011-01-20 |
| 1821312091 | Advanced Dermatology and Skin Surgery Inc | Dermatology | 4155 Moorpark Ave Ste 3, San Jose, CA 95117-1714 | 2010-03-17 |
| 1386970853 | Edward E Rotan Md Inc | Dermatology | 2016 Forest Ave Ste 5, San Jose, CA 95128-4804 | 2009-10-19 |
| 1801992847 | An Tranvan | Dermatology | 105 N Jackson Ave Ste 103, San Jose, CA 95116-1913 | 2006-09-16 |
| 1720181399 | Hong Do | Dermatology | 1692 Tully Road, Suite #9, San Jose, CA 95122 | 2006-09-07 |
| 1366477606 | Sandra T Yeh | Dermatology | 706 N Winchester Blvd, San Jose, CA 95128-1524 | 2006-07-12 |
| 1881655363 | Marie B Britz | Dermatology | 2074 Forest Ave, Suite 1, San Jose, CA 95128-4811 | 2006-03-31 |
| 1114914256 | Tom Urban | Dermatology | 6501 Crown Blvd, Suite 106a, San Jose, CA 95120-2903 | 2005-10-04 |
| 1093718546 | Mychael Luu | Dermatology | 2050 Clarmar Way, San Jose, CA 95128-1704 | 2005-05-28 |
| 1144755141 | Uberwoundcare Inc | Dermatology | 2880 Zanker Rd, Suite 203, San Jose, CA 95134-2117 | 2017-04-27 |
| Find all providers in SAN JOSE | ||||
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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.