MEDICARE: FUKI MARIE HISAMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0201X	Clinical Genetics (M.D.) Physician	G203183	CA
2	2084N0400X	Neurology Physician	MD60076638	WA
3	207SG0201X	Clinical Genetics (M.D.) Physician	MD60076638	WA

General Provider Information

NPI Number	:	1780666420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FUKI MARIE HISAMA MD

Provider Business Mailing Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:	714-456-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:	714-456-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	11/14/2025

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1912964925 — DR. VIRGINIA E KIMONIS MD
Practice Location Address:

101 THE CITY DR S # ZC4482 , DIVISION OF GENETICS AND METABOLISM
ORANGE, CA
92868-3201

Practice Phone: 714-456-5792
Practice Fax: 714-456-5330

1942409669 — DR. NATALIE MICHELLE GALLANT M.D.
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-8888
Practice Fax:

1982927729 — DR. JUNEANNE GOLD M.D.
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-880-7812
Practice Fax:

1700179157 — ELIZABETH C CHAO MD
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-7004
Practice Fax:

1578364808 — DR. SAMUEL PAEK MD
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-7012
Practice Fax:

Directions to “ FUKI MARIE HISAMA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.