Nichole Sun, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS54751 Issued in CA

Practice address

1189 Swallow LN Ste 200
Simi Valley, CA 93065-3157

Phone

(805) 522-3366

NPI assigned

Mar 1, 2024

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1033976626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 CAMINO DEL LAGO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206707",
            "telephone_number": "805-792-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 SWALLOW LN STE 200",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653157",
            "telephone_number": "805-522-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "NICHOLE",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS54751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maral Pushian Sultanian, LMFT
• Summit Home Health, Inc (Angels of Summit Home Health)
• Summit Optometric Eyecare
• Li Sun
• Nancy Sun, M.D.
• Megha Sundar, LMFT
• Sunlight Home Health Care Inc
• Sunray Adhc, Inc.
• Sunrise Lovely Manor
• Sunrise Manor Common Lovely, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.