Individual provider Active NPI

Cecilia Margaret Manaois Sung, R.N.

  • Certified Registered Nurse Anesthetist
  • Coon Rapids, MN
National Provider Identifier
1215377445
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
93135 Issued in GU
Practice address
8990 Springbrook Dr NW Ste 250
Coon Rapids, MN 55433-5884
Phone
(763) 398-0099
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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 R1977514 MN
Certified Registered Nurse Anesthetist 367500000X 93135 GU Primary

Addresses

Primary practice location

8990 Springbrook Dr NW Ste 250
Coon Rapids, MN 55433-5884

Mailing address

10966 Ohio Ave Apt 102
Los Angeles, CA 90024-5403
Phone (909) 615-8894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708002353 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577799352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Digestive Anesthesia, Inc.Group PAC ID 9830582675, 3 clinicians
Amsurg Arcadia Anesthesia LPGroup PAC ID 7214199850, 7 clinicians

Practice addresses (Care Compare)

2621 S Bristol St
Suite 202
Santa Ana, CA 92704-5718
Phone (657) 900-4536

488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7230
Phone (626) 359-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
93135GUMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Arcadia Anesthesia LP CurrentSince May 1, 2016 Accepting new patients
Glendora Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2024 Accepting new patients
Orange County Digestive Anesthesia, Inc. CurrentSince Dec 1, 2023 Accepting new patients

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

1794 S Barranca Ave
Glendora, CA 91740
Phone (626) 858-4600

2621 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (657) 900-4536

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1215377445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10966 OHIO AVE APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245403",
            "telephone_number": "909-615-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 SPRINGBROOK DR NW STE 250",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335884",
            "telephone_number": "763-398-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "CECILIA",
        "middle_name": "MARGARET MANAOIS",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1977514",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GU",
            "license": "93135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.