Alex Sun

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116369 Issued in FL

Practice address

10150 Hagen Ranch Rd Ste 201
Boynton Beach, FL 33437-3776

Phone

(561) 374-8969

NPI assigned

Jan 5, 2021

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAEBDA
• FHIR API: https://fhir4.healow.com/fhir/r4/FCFDDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1316535446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH RD STE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373776",
            "telephone_number": "561-374-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH RD STE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373776",
            "telephone_number": "561-374-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10075 S Jog Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373532",
            "country_code": "US",
            "telephone_number": "561-733-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14530 S Military Trl",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334843706",
            "country_code": "US",
            "telephone_number": "561-381-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summers Rain LLC
• Summerville 15, LLC (Brookdale West Boynton Beach)
• Summit Detox
• Summit Detox, Inc.
• Summitcare Mobility
• Suncoast Pharmacy of Boynton Beach
• Sunnyside Mobility LLC
• Sunrise Community Inc,
• Sunrise Community Inc.
• Sunrise Community Inc.

• Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.