NPIMap

Individual provider Active NPI

Jonathan Sung

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1477057859
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A173433 Issued in CA
Practice address
3291 Skypark Dr
Torrance, CA 90505-5004
Phone
(310) 325-4517
Fax
(310) 325-1144
NPI assigned
Mar 21, 2018
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A173433 CA Primary

Addresses

Primary practice location

3291 Skypark Dr
Torrance, CA 90505-5004

Mailing address

3291 Skypark Dr
Torrance, CA 90505-5004
Phone (310) 325-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000939 CA Practitioner - Internal MedicinePractitioner - Nephrology 0547505497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Nephrology Med. Group Inc.Group PAC ID 3173681400, 7 clinicians

Practice addresses (Care Compare)

3291 Skypark Dr
Torrance, CA 90505-5004
Phone (310) 325-4517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173433CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Nephrology Med. Group Inc. Nephrology CurrentSince Jun 1, 2023 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

3291 Skypark Dr
Torrance, CA 90505
Phone (213) 325-4517

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1477057859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A173433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.