Individual provider Active NPI

Sandy Ung, FNP-BC

  • Family Nurse Practitioner
  • Yucaipa, CA
National Provider Identifier
1023863487
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029733 Issued in CA
Practice address
11970 4TH St
Yucaipa, CA 92399-2720
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Apr 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 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 95029733 CA Primary

Addresses

Primary practice location

11970 4TH St
Yucaipa, CA 92399-2720

Mailing address

PO Box 7410882
Chicago, IL 60674-0884
Phone (702) 899-0595

Other practice location 1

13542 2nd St
Yucaipa, CA 92399-5396
Phone (872) 231-3162

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523003806 CA Practitioner - Nurse Practitioner 8628410479 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

275 Garnet Way
Upland, CA 91786-5932
Phone (909) 949-4887

35253 Ave H
Yucaipa, CA 92399-5415
Phone (909) 795-2476

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95029733CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Myndfull Care Management California PC CurrentSince Apr 13, 2024 Accepting new patients
West Coast Health and Rehab PC CurrentSince Nov 12, 2025 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Apr 13, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Apr 13, 2024 Accepting new patients
Bay View Health Solutions CurrentSince Mar 3, 2025 Accepting new patients
Integrated Rehab Consultants California Inc CurrentSince Oct 3, 2025 Accepting new patients
Geri Connection CurrentSince Apr 13, 2024 Accepting new patients

Locations

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

9246 Avenida Miravilla
Cherry Valley, CA 92223
Phone (951) 845-3194

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

1850 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (323) 655-6960

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

11970 4th St
Yucaipa, CA 92399
Phone (719) 661-0764

13542 2nd St
Yucaipa, CA 92399
Phone (909) 795-2421

35253 Avenue H
Yucaipa, CA 92399
Phone (909) 795-2476

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (702) 328-7648

Organizations & group practices 8

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1023863487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410882",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740884",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 4TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992720",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13542 2nd St",
            "address_purpose": "LOCATION",
            "city": "Yucaipa",
            "state": "CA",
            "postal_code": "923995396",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNG",
        "first_name": "SANDY",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.