Individual provider Active NPI

Rose M Sun, N.P.

  • Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1194913343
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20872 Issued in CA
Practice address
5522 Gracewood Ave
Arcadia, CA 91007-8409
Phone
(626) 353-2594
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 543444 CA
Nurse Practitioner 363L00000X 20872 CA Primary

Addresses

Primary practice location

5522 Gracewood Ave
Arcadia, CA 91007-8409

Mailing address

725 W Duarte Rd Unit 1143
Arcadia, CA 91077-7011
Phone (626) 353-2594

Other identifiers 2

IdentifierTypeStateIssuer
543444OtherCASTATE BOARD OF RN
20872OtherCASTATE BOARD OF RN

Other names 1

  • Mei Sun Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180411002930 CA Practitioner - Nurse Practitioner 5991886848 Reassigns benefits to 1 organization
Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pen H Lee MD IncGroup PAC ID 2062441389, 2 clinicians

Practice addresses (Care Compare)

600 N Garfield Ave
Suite 110
Monterey Park, CA 91754-1168
Phone (626) 571-6641

Hospital & facility affiliations

  • Happy Home Health Services Home health agency, Arcadia, CA, CCN 059173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pen H. Lee, M.D., Inc CurrentSince Aug 2, 2024 Accepting new patients
Happy HHA, Inc. PastSince Apr 30, 2003 Accepting new patients

Locations

600 N Garfield Ave
Ste 110
Monterey Park, CA 91754
Phone (626) 570-6641

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Happy Home Health ServicesArcadia, CA, CCN 059173 Home health agency 5% Or Greater Direct Ownership Interest (33%)
Corporate Officer
W-2 Managing Employee
Nov 7, 2007
Nov 7, 2007
Nov 7, 2007

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1194913343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W DUARTE RD UNIT 1143",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910777011",
            "telephone_number": "626-353-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 GRACEWOOD AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078409",
            "telephone_number": "626-353-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "543444",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF RN",
            "identifier": "543444",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF RN",
            "identifier": "20872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEI",
            "last_name": "SUN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.