Ellysha Bautista Sunga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109660 Issued in CA

Practice address

3200 Fulton St
San Francisco, CA 94118-3713

Phone

(415) 367-3444

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1245066885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590921",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941590921",
            "telephone_number": "619-446-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183713",
            "telephone_number": "415-367-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Pine St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094525",
            "country_code": "US",
            "telephone_number": "415-922-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNGA",
        "first_name": "ELLYSHA",
        "middle_name": "BAUTISTA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam C Sung, PHN
• Shijun Sung, MD
• Taeil D. Sung
• Ye Shih Sung
• Carmelita Lipat Sunga
• Shaina Louisse Sunga
• Ethan Suniewick
• Gowri Syamkumar Sunitha
• Sunlight Acupuncture & Health Inc
• Sunmed Medical Systems LLC

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.