Sue Pung
Individual provider Active NPI Registered Nurse · Columbia, CA
NPI 1538079561 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1538079561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95206049 (CA)
- Practice address
- 23234 Porcina Way
Columbia, CA 95310-9717 - Phone
- (415) 221-4810
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95206049 | CA | Yes |
Addresses
Primary practice location
23234 Porcina Way
Columbia, CA 95310-9717
Mailing address
23234 Porcina Way
Columbia, CA 95310-9717
Phone (415) 221-4810
Other providers in Columbia, CA
All providers in Columbia, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.