Active NPI
Edward Sun M.D., Inc.
- Orthopaedic Surgery of the Spine Physician
- Daly City, CA
National Provider Identifier
1376720078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- A64612
- Legal business name
- EDWARD SUN M.D., INC.
- Practice address
- 1500 Southgate Ave
Suite 115
Daly City, CA 94015-2259 - Phone
- (650) 991-4466
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Sun, M.D.
- Title
- Physician
- Phone
- (650) 692-1475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A64612 | CA | Primary |
Addresses
Primary practice location
1500 Southgate Ave
Suite 115
Daly City, CA 94015-2259
Mailing address
1500 Southgate Ave
Suite 115
Daly City, CA 94015-2259
Phone (650) 991-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- San Mateo, CA
- NPI 1831161645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201132800000",
"number": "1376720078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SOUTHGATE AVE",
"address_2": "SUITE 115",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152259",
"telephone_number": "650-991-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SOUTHGATE AVE",
"address_2": "SUITE 115",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152259",
"telephone_number": "650-991-4466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD SUN M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A",
"authorized_official_last_name": "SUN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "650-692-1475",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A64612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.