Organization Active NPI

Sunburst Medicine PLLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1578844411
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUNBURST MEDICINE PLLC
Practice address
3101 E Shea Blvd Ste 114
Phoenix, AZ 85028-3209
Phone
(480) 544-7884
Fax
(480) 781-4801
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Nacchal Nachiappan, MD
Title
Self
Phone
(480) 455-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3101 E Shea Blvd Ste 114
Phoenix, AZ 85028-3209

Mailing address

6336 E Cochise Rd
Paradise Valley, AZ 85253-1252
Phone (480) 455-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1578844411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 E COCHISE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531252",
            "telephone_number": "480-455-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 E SHEA BLVD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283209",
            "telephone_number": "480-544-7884",
            "fax_number": "480-781-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "NACHIAPPAN",
        "authorized_official_first_name": "NACCHAL",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "480-455-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.