Organization Active NPI

Yeming Sun M.D. Inc

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1457627580
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A69676 Issued in CA
Legal business name
YEMING SUN M.D. INC
Practice address
113 Waterworks Way
Suite 125
Irvine, CA 92618-3168
Phone
(949) 552-6788
Fax
(949) 552-7688
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Yeming Sun, M.D.NPI 1811977069
Title
Ceo
Phone
(949) 552-6788

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A69676 CA Primary

Addresses

Primary practice location

113 Waterworks Way
Suite 125
Irvine, CA 92618-3168

Mailing address

113 Waterworks Way
Suite 125
Irvine, CA 92618-3168
Phone (949) 552-6788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000707 CA Part B Supplier - Clinic/Group Practice 1658528666 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1457627580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183168",
            "telephone_number": "949-552-6788",
            "fax_number": "949-552-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183168",
            "telephone_number": "949-552-6788",
            "fax_number": "949-552-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEMING SUN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YEMING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-552-6788",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A69676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.

Verify at the official NPI Registry.