Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Leonard Funamura, MD

Individual provider Body Imaging Physician · NPI 1407915739

Dr. Jack Leonard Funamura, MD is a Body Imaging Physician in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2320 N California St Ste 2
Stockton, CA 95204-5509
Phone: (209) 466-2000
Fax: (209) 466-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G35134 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence G35134 (CA)

Record details

NPI number1407915739
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address2320 North California Street, Suite 2, Stockton, CA 95204-5509

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