Jimmy Jyh-Ming Sun, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A72737 Issued in CA

Practice address

818 Magnolia Ave
Corona, CA 92879-3128

Phone

(951) 493-6920

Fax

(951) 738-8813

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

Columbia University College of Physicians and Surgeons, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Parkview Community Hospital Medical Center Hospital, Riverside, CA, CCN 050102

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: james.sun.1@1325.direct.athenahealth.com

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.

• Riverside Medical Clinic, Inc

  • Dermatology Physician
  • Riverside, CA
  • NPI 1720183403

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Sun Medical Corporation

  • Otolaryngology/Facial Plastic Surgery Physician
  • Anaheim, CA
  • NPI 1700064243
  Medicare reassignment
• Riverside Medical Clinic, Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415

  Otolaryngology

  NPD
• Riverside Medical Clinic, Inc

  • Family Medicine Physician
  • Eastvale, CA
  • NPI 1972845535
  NPD
• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  NPD (past)
• RMC Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Riverside, CA
  • NPI 1396709077
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Placentia, CA
  • NPI 1700817756
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1073590907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063912",
            "telephone_number": "951-493-6920",
            "fax_number": "951-738-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MAGNOLIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793128",
            "telephone_number": "951-493-6920",
            "fax_number": "951-738-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JIMMY",
        "middle_name": "JYH-MING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A72737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE PTAN",
            "identifier": "ZZZ31887Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve Summers, PNP
• Summit Ortho Recovery, Inc
• Felicity Shyenne Sumner
• Christine Voeltner Sumpter, MS, LMFT
• Christine H Sun, M.D.
• Brandon Sundquist
• Si Yeun Sung, DDS
• Sunil Sujan, M.D., Inc.
• Sunrise Homehealth Care Corp
• Sunrise Medical Associates Inc

• Otolaryngology Physician in Corona, CA
• Providers in Corona, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.