Organization Active NPI

Sunshine Pediatrics Oc Inc

  • Pediatrics Physician
  • Irvine, CA
National Provider Identifier
1154299949
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUNSHINE PEDIATRICS OC INC
Practice address
17877 Von Karman Ave Ste 210
Irvine, CA 92614-4227
Phone
(949) 617-2525
Fax
(949) 617-3535
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Jiyeon Kim, MDNPI 1922206135
Title
VP, Coo
Phone
(309) 648-9816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

17877 Von Karman Ave Ste 210
Irvine, CA 92614-4227

Mailing address

17877 Von Karman Ave Ste 210
Irvine, CA 92614-4227
Phone (949) 617-2525

Other practice location 1

1706 W Orangethorpe Ave Ste D
Fullerton, CA 92833-4556
Phone (949) 617-2525

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2338905Sunshine Pediatrics Oc17877 Von Karman Avenue Suite 210, Irvine, CA 92614Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Locations

17877 Von Karman Ave
Ste 210
Irvine, CA 92614
Phone (949) 617-2525

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1154299949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17877 VON KARMAN AVE STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144227",
            "telephone_number": "949-617-2525",
            "fax_number": "949-617-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17877 VON KARMAN AVE STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144227",
            "telephone_number": "949-617-2525",
            "fax_number": "949-617-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 W Orangethorpe Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928334556",
            "country_code": "US",
            "telephone_number": "949-617-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS OC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIYEON",
        "authorized_official_title_or_position": "VP, COO",
        "authorized_official_telephone_number": "309-648-9816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.