Individual provider Active NPI

Ning Sun, FNP-BC

  • Family Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1003340977
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021590 Issued in CA
Practice address
2492 Walnut Ave Ste 100
Tustin, CA 92780-6953
Phone
(714) 709-8000
Fax
(714) 709-8080
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021590 CA Primary

Addresses

Primary practice location

2492 Walnut Ave Ste 100
Tustin, CA 92780-6953

Mailing address

2492 Walnut Ave Ste 100
Tustin, CA 92780-6953
Phone (714) 709-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170526001163 SC Practitioner - Nurse Practitioner 0749557536 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021590CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lam Health CurrentSince Mar 20, 2025 Accepting new patients
Lam MD CurrentSince Mar 20, 2025 Accepting new patients
Trinity Family Practice CurrentSince May 1, 2019 Accepting new patients
Lam Integrative Medicine, P.C. PastSince Aug 25, 2025 Accepting new patients

Locations

2492 Walnut Ave
Ste 100
Tustin, CA 92780
Phone (714) 709-8000

4144 Clemson Blvd
Anderson, SC 29621
Phone (864) 224-3332

Interoperability endpoints

  • Direct secure messaging: ning.sun@10528.chartlogic.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1003340977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-709-8000",
            "fax_number": "714-709-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-709-8000",
            "fax_number": "714-709-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "NING",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.