Sunroot MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SUNROOT MD INC

Practice address

1555 Soquel Dr
Santa Cruz, CA 95065-1705

Phone

(650) 704-8528

NPI assigned

Jun 3, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Ken Hine, MD

Title

President

Phone

(650) 704-8528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1467346734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 GABILAN ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940224039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "650-704-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNROOT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "HINE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-704-8528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter David Sullivan, M.A., OTR/L
• Richard John Sullivan Jr.
• Ryan Thomas Sullivan, PTA
• Elizabeth Erin Sumner Ballantyne, MFT
• Micah Ece Sunata
• Mark Surber, P.T.
• Surgical Associates of Monterey Bay Medical Corporation
• Surindra N. Mitruka, M.D. a Medical Corporation
• James Sutherland, IMF
• Cody Sutphin, MD

• Medical Specialty Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.