Individual provider Active NPI

Sunil Mapara, M.D.

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1386777472
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A37744 Issued in CA
Practice address
5475 E la Palma Ave
100
Anaheim, CA 92807-2075
Phone
(714) 970-0911
Fax
(714) 970-0904
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X A37744 CA
Family Medicine Physician 207Q00000X A37744 CA Primary

Addresses

Primary practice location

5475 E la Palma Ave
100
Anaheim, CA 92807-2075

Mailing address

5475 E la Palma Ave
100
Anaheim, CA 92807-2075
Phone (714) 970-0911

Other identifiers 2

IdentifierTypeStateIssuer
W10549AOtherCAMEDICARE PROVIDER NUMBER
A37744OtherCASTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000287 CA Practitioner - Family PracticePractitioner - General Practice 3476684721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S M Multispecialty Medical CorporationGroup PAC ID 4688603392, 2 clinicians
Mapara Medical Group IncGroup PAC ID 8224169578, 2 clinicians

Practice addresses (Care Compare)

2492 Walnut Ave
Suite 110
Tustin, CA 92780-6953
Phone (714) 669-1997

5475 E la Palma Ave
Suite 100
Anaheim, CA 92807-2001
Phone (719) 970-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mapara Medical Group, Inc Family Medicine CurrentSince Mar 1, 1987 Accepting new patients
S M Multispecialty Medical Corporation Family Medicine CurrentSince May 5, 1999 Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

5475 E La Palma Ave
Ste 100
Anaheim, CA 92807
Phone (714) 970-0911

2492 Walnut Ave
Ste 110
Tustin, CA 92780
Phone (714) 669-1997

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386777472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-970-0911",
            "fax_number": "714-970-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-970-0911",
            "fax_number": "714-970-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPARA",
        "first_name": "SUNIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "A37744",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "W10549A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A37744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.