Individual provider Active NPI

Steven Yi Sun, M.D.

  • Pediatrics Physician
  • Irvine, CA
National Provider Identifier
1467831131
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A145936 Issued in CA
Practice address
22 Odyssey Ste 230
Irvine, CA 92618-7700
Phone
(949) 336-1112
NPI assigned
May 27, 2015
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X A145936 CA Primary

Addresses

Primary practice location

22 Odyssey Ste 230
Irvine, CA 92618-7700

Mailing address

22 Odyssey Ste 230
Irvine, CA 92618-7700
Phone (949) 336-1112

Other practice location 1

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 336-1112

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
I20180920002200 CA Practitioner - Pediatric Medicine 7113278722 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145936CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 11, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Jul 11, 2018 Accepting new patients
Sushil Anand and Associates Medical Corp Pediatrics Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

15000 Kensington Park Dr
Ste 250
Tustin, CA 92782
Phone (714) 477-8320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1467831131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187700",
            "telephone_number": "949-336-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187700",
            "telephone_number": "949-336-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hoag Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634162",
            "country_code": "US",
            "telephone_number": "949-336-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "STEVEN",
        "middle_name": "YI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A145936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.