Shaun Sanucci, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12677 Issued in CA

Practice address

3930 Fourth Ave
Ste 200
San Diego, CA 92103-3119

Phone

(619) 297-9610

Fax

(619) 297-2244

NPI assigned

Mar 31, 2008

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal MedicineAlso: Preventive Medicine

Education

Arizona College of Osteopathic Medicine Mid Western University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BGM Medical Services Inc a Medical CorporationGroup PAC ID 3577956051, 2 clinicians

Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: sanucci-shaun@fd328987.micromddirect.com
• Direct secure messaging: shaun.sanucci@3856.securemail.prognocis.com

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.

• BGM Medical Services Inc a Medical Corporation

  dba Perris Clinic

  • Public Health & General Preventive Medicine Physician
  • Perris, CA
  • NPI 1780356790
  Medicare reassignment Care Compare group NPD
• Somagen Healthcare Inc

  dba AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • Santee, CA
  • NPI 1396058137
  Medicare reassignment Care Compare group NPD
• Desert Medical Group, Inc.

  dba Desert Oasis Healthcare Medical Group

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612

  Emergency Medicine

  Medicare reassignment NPD
• Somagen Healthcare Inc

  dba AFC Urgent Care Granada Hills

  • Urgent Care Clinic/Center
  • Granada Hills, CA
  • NPI 1043667660
  NPD
• Somagen Healthcare Inc

  dba AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1992237127
  NPD
• BGM Medical Services Inc a Medical Corporation

  • Urgent Care Clinic/Center
  • Perris, CA
  • NPI 1790566990
  NPD (past)
• Somagen Healthcare Inc

  dba AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • Chula Vista, CA
  • NPI 1316225147
  NPD (past)
• Somagen Healthcare Inc

  dba AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1558788620
  NPD (past)
• Somagen Healthcare Inc

  dba AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1770015901
  NPD (past)
• Somagen Healthcare Inc

  dba AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1952995466
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1417129453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SHADOW LANE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064194",
            "telephone_number": "702-388-4000",
            "fax_number": "702-388-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 FOURTH AVE",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033119",
            "telephone_number": "619-297-9610",
            "fax_number": "619-297-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANUCCI",
        "first_name": "SHAUN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "SL0528",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "12677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Christabella Santoso, PHARMD
• Joaquin Santoy, MD
• Marissa A Santoyo Rodriguez
• Monserrat Consejo Santoyo
• Steven Paul Santoyo, M.D.
• Mary Ann Sanvictores, DDS
• Rebecca Sanvictores
• Tina Sanvictores
• Courtney Michele Sanwo, AMFT
• Susan Sanz-Vazquez, BSW, MSW, ASW/ACSW

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.