Individual provider Active NPI

Lucy Chen Sun, FNP-C

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1326770504
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021445 Issued in CA
Practice address
1703 Termino Ave Ste 108
Long Beach, CA 90804-2126
Phone
(562) 498-2481
Fax
(562) 494-6651
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2347775 MA
Registered Nurse 163W00000X 95282803 CA
Family Nurse Practitioner 363LF0000X 95021445 CA Primary

Addresses

Primary practice location

1703 Termino Ave Ste 108
Long Beach, CA 90804-2126

Mailing address

30 Revere Beach Pkwy Apt 402
Medford, MA 02155-5162

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
I20240328001593 CA Practitioner - Nurse Practitioner 8426495276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Housecall Doctors Medical Group IncGroup PAC ID 6103802855, 12 clinicians

Practice addresses (Care Compare)

3800 Kilroy Airport Way
Suite 270
Long Beach, CA 90806-2497
Phone (949) 366-1053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2347775MAMDRegistered Nurse
95021445CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

Interoperability endpoints

  • Direct secure messaging: lucy.sun.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: lucy.sun.1@33925.direct.athenahealth.com

Organizations & group practices 1

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1326770504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REVERE BEACH PKWY APT 402",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-498-2481",
            "fax_number": "562-494-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "LUCY",
        "middle_name": "CHEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2347775",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95282803",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.