Active NPI
Joel Yao Sun, MS
- Medical Technologist
- Oakland, CA
National Provider Identifier
1174768790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- MTA40732
- Practice address
- 2624 Foothill Blvd
208
Oakland, CA 94601-1769 - Phone
- (510) 436-6017
- NPI assigned
- Dec 11, 2008
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | MTA40732 | CA | Primary |
Addresses
Primary practice location
2624 Foothill Blvd
208
Oakland, CA 94601-1769
Mailing address
2624 Foothill Blvd
208
Oakland, CA 94601-1769
Phone (510) 436-6017
Other names 1
- Jiyao Sun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTA40732 | CA | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1174768790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 FOOTHILL BLVD",
"address_2": "208",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011769",
"telephone_number": "510-436-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 FOOTHILL BLVD",
"address_2": "208",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011769",
"telephone_number": "510-436-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "JOEL",
"middle_name": "YAO",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "CA",
"license": "MTA40732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIYAO",
"last_name": "SUN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.