Active NPI
Samuel Sunshine, MD
- Family Medicine Physician
- Foothill Ranch, CA
National Provider Identifier
1083713077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G77348
- Practice address
- 26700 Towne Centre Dr
Suite 100
Foothill Ranch, CA 92610-2844 - Phone
- (949) 460-9111
- Fax
- (949) 460-9055
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G77348 | CA | Primary |
Addresses
Primary practice location
26700 Towne Centre Dr
Suite 100
Foothill Ranch, CA 92610-2844
Mailing address
26700 Towne Centre Dr
Suite 100
Foothill Ranch, CA 92610-2844
Phone (949) 460-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 2, 2020 through Mar 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77348 | CA | MD | Pharmacist |
| G77348 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Solutions Medical Corp | Past | Accepting new patients |
Interoperability endpoints
- sam.sunshine@164947269779460.direct.elationemr.com
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1083713077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26700 TOWNE CENTRE DR",
"address_2": "SUITE 100",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926102844",
"telephone_number": "949-460-9111",
"fax_number": "949-460-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26700 TOWNE CENTRE DR",
"address_2": "SUITE 100",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926102844",
"telephone_number": "949-460-9111",
"fax_number": "949-460-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNSHINE",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G77348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foothill Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.