Samuel Sunshine MD Medical Corporation

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

G77348 Issued in CA

Legal business name

SAMUEL SUNSHINE MD MEDICAL CORPORATION

Doing business as

OC Sports and Wellness

Practice address

26700 Towne Centre Dr Ste 100
Foothill Ranch, CA 92610-2843

Phone

(949) 460-9111

Fax

(949) 460-9055

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Sunshine, M.D.NPI 1083713077

Title

Owner

Phone

(949) 460-9111

Specialties & licenses 1

Addresses

Other names 1

• OC Sports and Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Sunshine, MD

  • Family Medicine Physician
  • Foothill Ranch, CA
  • NPI 1083713077
  Authorized official Same address or phone

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1083843460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 100",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102843",
            "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 STE 100",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102843",
            "telephone_number": "949-460-9111",
            "fax_number": "949-460-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SUNSHINE MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-460-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G77348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Sports and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Roberts-Rieger, DDS
• Arlyn P Sabado, MS, RDN
• Ali Sadri, DDS
• Christopher Saldivar, LCSW
• Aaron Salimnia, DDS
• Michelle Santos
• Selina Ann Salvador Sarno, DDS
• Jill Scheckman
• Denise Kaur Schweigert, NP-C
• Saghar Sefidbakht, RD, MS

• Sports Medicine (Family Medicine) Physician in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.