Individual provider Active NPI

Adam M Sun, MD

  • Nephrology Physician
  • Monterey Park, CA
National Provider Identifier
1497712715
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C43035 Issued in CA
Practice address
500 N Garfield Ave
Ste 306
Monterey Park, CA 91754-1242
Phone
(626) 572-0660
Fax
(626) 572-0860
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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 C43035 CA Primary

Addresses

Primary practice location

500 N Garfield Ave
Ste 306
Monterey Park, CA 91754-1242

Mailing address

630 Arbolada Dr
Arcadia, CA 91006
Phone (626) 572-0660

Other identifiers 1

IdentifierTypeStateIssuer
00C430350MedicaidCA

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
I20110401000661 CA Practitioner - Nephrology 7911936083 Reassigns benefits to 1 organization
Practice locations: Monterey Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Garfield Ave
Monterey Park, CA 91754-1242
Phone (626) 572-0660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C43035CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Sun Nephrology Medical Group Inc Nephrology CurrentSince Feb 23, 2000 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
The Miriam Hospital Past Accepting new patients

Locations

500 N Garfield Ave
Ste 306
Monterey Park, CA 91754
Phone (626) 572-0660

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1497712715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ARBOLADA DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91006",
            "telephone_number": "626-572-0660",
            "fax_number": "626-572-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "STE 306",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-572-0660",
            "fax_number": "626-572-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "ADAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C43035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C430350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.