Sunset Physical Therapy Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24666

Legal business name

SUNSET PHYSICAL THERAPY CORPORATION

Practice address

18800 Main St
Ste 104
Huntington Beach, CA 92648

Phone

(714) 843-9077

Fax

(562) 799-8832

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert James Macdonald II, DOCTOR OF PHYSICAL TNPI 1629182514

Title

President

Phone

(714) 843-9077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Robert James Macdonald II, DR. PHYSICAL THERAPY

  • Specialist
  • Huntington Beach, CA
  • NPI 1629182514
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Klueger, DPT

  • Physical Therapist
  • Long Beach, CA
  • NPI 1790142024
  Medicare reassignment Care Compare group NPD
• Gina Yvette Macdonald, DR. PHYSICAL THERAPY

  • Specialist
  • Seal Beach, CA
  • NPI 1700990694
  Medicare reassignment Care Compare group NPD
• Karl Shelby Palm, P.T.

  • Physical Therapist
  • Antioch, TN
  • NPI 1700909421
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528097482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WARNER AVE",
            "address_2": "#418",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494659",
            "telephone_number": "714-843-9077",
            "fax_number": "562-799-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "STE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-843-9077",
            "fax_number": "562-799-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-843-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DOCTOR OF PHYSICAL T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT24666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD OF CA",
            "identifier": "ZZZ004752",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suncoast Pharmacy, Inc.
• Alex Kiwook Sung, PT, DPT
• Nahyun Sung
• Marvin Louie Sunpongco, PMHNP
• Sunset Beach Concierge Physical Therapy Inc
• Supervista North America
• Millie Jay Surati-Tantod, M.D.
• Surf City Peds
• Surf City Podiatry
• Surf City Recovery

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.