NPIMap

Organization Active NPI

Sun C Soung,M.D.,Inc

  • Primary Care Clinic/Center
  • Rialto, CA
National Provider Identifier
1235466327
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A34265 Issued in CA
Legal business name
SUN C SOUNG,M.D.,INC
Practice address
1734 N Riverside Ave
Suite 2
Rialto, CA 92376-8058
Phone
(909) 875-3595
Fax
(909) 875-1029
NPI assigned
Nov 10, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Sun C Soung, M.D.NPI 1295893162
Title
President
Phone
(909) 875-3595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A34265 CA Primary

Addresses

Primary practice location

1734 N Riverside Ave
Suite 2
Rialto, CA 92376-8058

Mailing address

1734 N Riverside Ave
Suite 2
Rialto, CA 92376-8058
Phone (909) 875-3595

Other identifiers 1

IdentifierTypeStateIssuer
00A342650MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1235466327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 N RIVERSIDE AVE",
            "address_2": "SUITE 2",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768058",
            "telephone_number": "909-875-3595",
            "fax_number": "909-875-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 N RIVERSIDE AVE",
            "address_2": "SUITE 2",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768058",
            "telephone_number": "909-875-3595",
            "fax_number": "909-875-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN C SOUNG,M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "SOUNG",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-875-3595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A34265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A342650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.