NPIMap

Individual provider Active NPI

Sunil G. Sujan, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1598740474
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63079 Issued in CA
Practice address
838 19TH St Apt 5
Santa Monica, CA 90403-6711
Phone
(310) 998-0031
Fax
(310) 496-1216
NPI assigned
Dec 13, 2005
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63079 CA Primary

Addresses

Primary practice location

838 19TH St Apt 5
Santa Monica, CA 90403-6711

Mailing address

1223 Wilshire Blvd
Suite #997
Santa Monica, CA 90403-5406
Phone (310) 351-4566

Other practice location 1

838 19th St Apt 5
Santa Monica, CA 90403-6711
Phone (310) 351-4566

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001012 CA Practitioner - Internal MedicinePractitioner - Family Practice 8527041516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aande Medical Group-a Professional Nursing CorporationGroup PAC ID 7719388230, 20 clinicians

Practice addresses (Care Compare)

600 N Brand Blvd
Suite 612
Glendale, CA 91203-4214
Phone (818) 239-9293

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63079CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A&E Medical Group-a Professional Nursing Corporation CurrentSince May 16, 2025 Accepting new patients
Health Atlast West la Internal Medicine CurrentSince Jul 23, 2019 Accepting new patients
Health Atlast West la Inc Internal Medicine Current Accepting new patients
Paramount Healthcare - a Professional Nursing Corporation CurrentSince Sep 3, 2025 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Aug 17, 2019 Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Aug 17, 2019 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Provident Hospitalist Associates, a Professional Medical Corporation Internal Medicine Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Sierra Medical Group Holding Company, Inc. Internal Medicine Past Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

242 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 652-2300

600 N Brand Blvd
Ste 612
Glendale, CA 91203
Phone (818) 239-9293

11560 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 477-8285

3030 Sawtelle Blvd
Los Angeles, CA 90066
Phone (310) 390-9018

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

2428 Santa Monica Blvd
Ste 308
Santa Monica, CA 90404
Phone (310) 453-8389

524 Colorado Ave
Santa Monica, CA 90401
Phone (310) 260-2917

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1598740474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "SUITE #997",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "310-351-4566",
            "fax_number": "310-496-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 19TH ST APT 5",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904036711",
            "telephone_number": "310-998-0031",
            "fax_number": "310-496-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 19th St Apt 5",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904036711",
            "country_code": "US",
            "telephone_number": "310-351-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUJAN",
        "first_name": "SUNIL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-11-22",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.