Individual provider Active NPI

Raymond Y Sung, M.D.

  • Diagnostic Radiology Physician
  • Escondido, CA
National Provider Identifier
1023079365
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A63965 Issued in CA
Practice address
488 E Valley Pkwy
Suite 100
Escondido, CA 92025-3363
Phone
(760) 739-5400
Fax
(760) 739-8471
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A63965 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X A63965 CA

Addresses

Primary practice location

488 E Valley Pkwy
Suite 100
Escondido, CA 92025-3363

Mailing address

PO Box 462750
Escondido, CA 92046-2750
Phone (760) 520-8500

Other identifiers 1

IdentifierTypeStateIssuer
00A639650MedicaidCA

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
I20040707000820 CA Practitioner - Diagnostic Radiology 2668459629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology Consultants Medical Group IncGroup PAC ID 4688572639, 8 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Suite 104
Escondido, CA 92025-4212
Phone (858) 815-2550

255 N Elm St
Suite 102
Escondido, CA 92025-3431
Phone (760) 520-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63965CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Dec 1, 2016 Accepting new patients
Scripps Health CurrentSince Dec 1, 2016 Accepting new patients
Valley Radiology Consultants Medical Group, Inc Diagnostic Radiology CurrentSince Jul 18, 2005 Accepting new patients
Imaging Healthcare Specialists Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Scripps Health Past Accepting new patients
Kevin T. Murphy, MD a Professional Corporation PastSince Sep 25, 2019 Accepting new patients
Regents of the University of California Past Accepting new patients
Valley Radiology Consultants Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Open Air MRI Centers Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

6185 Paseo del Norte
Ste 110
Carlsbad, CA 92011
Phone (760) 494-0556

355 E Grand Ave
Ste 3
Escondido, CA 92025
Phone (760) 480-6519

255 N Elm St
Ste 102
Escondido, CA 92025
Phone (760) 743-3873

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

225 E 2nd Ave
Ste 104
Escondido, CA 92025
Phone (858) 815-2550

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

15725 Pomerado Rd
Ste 101
Poway, CA 92064

16918 Dove Canyon Rd
Ste 206
San Diego, CA 92127
Phone (858) 924-1116

10225 Austin Dr
Ste 105
Spring Valley, CA 91978
Phone (619) 444-7796

Organizations & group practices 10

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1023079365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462750",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920462750",
            "telephone_number": "760-520-8500",
            "fax_number": "760-520-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-739-5400",
            "fax_number": "760-739-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "RAYMOND",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A63965",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A63965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A639650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.