Individual provider Active NPI

Chao Sun, M.D.

  • Occupational Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1013118884
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A101860 Issued in CA
Practice address
5700 Stoneridge Mall Rd Ste 100
Pleasanton, CA 94588-2872
Phone
(925) 915-9530
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X A101860 CA Primary

Addresses

Primary practice location

5700 Stoneridge Mall Rd Ste 100
Pleasanton, CA 94588-2872

Mailing address

770 Mason St
Vacaville, CA 95688-4646
Phone (707) 454-5800

Other names 1

  • Dr. Chao Sun Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080206000312 CA Practitioner - General PracticePractitioner - Other (Physician)Practitioner - Preventive Medicine 7113000787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Preventive Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

145 W Calaveras Blvd
Milpitas, CA 95035-5201
Phone (925) 915-9530

5700 Stoneridge Mall Rd
Pleasanton, CA 94588-2872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101860CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Medicine Urgent Care, Inc. CurrentSince Aug 1, 2012 Accepting new patients

Locations

145 W Calaveras Blvd
Milpitas, CA 95035
Phone (510) 745-8187

5700 Stoneridge Dr
Ste 100
Pleasanton, CA 94588

5700 Stoneridge Mall Rd
Ste 100
Pleasanton, CA 94588
Phone (925) 425-9525

Organizations & group practices 1

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1013118884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MASON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884646",
            "telephone_number": "707-454-5800",
            "fax_number": "707-454-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882872",
            "telephone_number": "925-915-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "CHAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A101860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAO",
            "last_name": "SUN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.