Individual provider Active NPI

Ma Therese Sunga Sunga

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1528876307
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033412 Issued in CA
Practice address
3302 Montellano Ave
Palmdale, CA 93551-4805
Phone
(661) 350-8824
NPI assigned
Dec 24, 2024
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 686315 CA
Family Nurse Practitioner 363LF0000X 95033412 CA Primary

Addresses

Primary practice location

3302 Montellano Ave
Palmdale, CA 93551-4805

Mailing address

3302 Montellano Ave
Palmdale, CA 93551-4805
Phone (661) 350-8824

Other names 1

  • Ma Therese Sunga Malit Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000311 CA Practitioner - Nurse Practitioner 9537681010 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone (800) 996-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033412CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prowellness Healthcare Inc. CurrentSince Dec 1, 2025 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jan 5, 2025 Accepting new patients
Tarzana Treatment Centers, Inc. Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jan 5, 2025 Accepting new patients
Doctors on the Go Inc. CurrentSince Dec 29, 2025 Accepting new patients
Prudent Healthcare Services Nursing CurrentSince Jan 18, 2025 Accepting new patients
Thrive Healthcare Solutions Nursing PC CurrentSince Feb 6, 2025 Accepting new patients
FM Woundcare Inc CurrentSince Feb 2, 2025 Accepting new patients

Locations

421 N Brookhurst St
Ste 224
Anaheim, CA 92801
Phone (562) 306-9739

421 N Brookhurst St
Ste 228J
Anaheim, CA 92801
Phone (562) 676-5671

425 E Colorado St
Ste 535A
Glendale, CA 91205
Phone (818) 532-2222

907 W Lancaster Blvd
Lancaster, CA 93534
Phone (661) 723-4829

320 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 729-9000

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Interoperability endpoints

  • Direct secure messaging: msunga771035@direct.ochin.org

Organizations & group practices 8

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": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1528876307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 MONTELLANO AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514805",
            "telephone_number": "661-350-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 MONTELLANO AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514805",
            "telephone_number": "661-350-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNGA",
        "first_name": "MA THERESE",
        "middle_name": "SUNGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "686315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA THERESE",
            "last_name": "MALIT",
            "middle_name": "SUNGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.