Sunny Sunjoo Park, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP19036 Issued in CA

Practice address

825 Delbon Ave
Turlock, CA 95382-2016

Phone

(209) 667-4200

NPI assigned

Apr 8, 2010

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Family Health Medical Center Inc.

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1780120220

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control, Other

  CMS ownership
• Family Health Medical Center Inc.

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1841525862

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Officer

  CMS ownership

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.

• San Joaquin Emergency Medical Associates

  • Emergency Medicine Physician
  • Merced, CA
  • NPI 1588960413
  Medicare reassignment NPD
• Central Valley Family Healthcare Inc.

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1396163242
  NPD (past) Authorized official
• Family Health Medical Center Inc.

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1780120220
  NPD (past)
• Family Health Medical Center Inc.

  • Rural Health Clinic/Center
  • Los Banos, CA
  • NPI 1841525862
  NPD (past)
• Vepema Medical Group

  • Emergency Medicine Physician
  • Turlock, CA
  • NPI 1356502496
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1134445745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822016",
            "telephone_number": "209-667-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822016",
            "telephone_number": "209-667-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNNY",
        "middle_name": "SUNJOO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Pancoast
• Jorge Pantoja, DDS
• Payal Chandra Pardiwala, FNP-C
• Danielle Parga
• Park Dental, Inc.
• Vernon Guy Park, M.D.
• Stephanie Elizabeth Parker, CRNA
• Faith Parra
• Alicia Partida
• Julissa Partida

• Family Nurse Practitioner in Turlock, CA
• Providers in Turlock, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.