NPIMap

Organization Active NPI

Sun Healthcare and Surgery Group Inc

  • Podiatrist
  • Antioch, CA
National Provider Identifier
1609328129
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SUN HEALTHCARE AND SURGERY GROUP INC
Practice address
3700 Sunset LN Ste 1
Antioch, CA 94509-6123
Phone
(925) 979-8313
Fax
(025) 954-6959
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Xingbo P Sun, DPMNPI 1841639200
Title
President
Phone
(626) 434-9194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3700 Sunset LN Ste 1
Antioch, CA 94509-6123

Mailing address

1815 Arnold Dr
Martinez, CA 94553-4219
Phone (502) 265-6433

Other practice location 1

1815 Arnold Dr
Martinez, CA 94553-4219
Phone (502) 265-6433

Other names 1

  • XINGBO P SUN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170119000771 CA Part B Supplier - Clinic/Group Practice 8022390491 Receives reassigned benefits from 12 practitioners
Practice locations: Antioch, CA; Martinez, CA
O20210331001899 CA DME Supplier - Physician - PodiatryDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 8022390491 Practice locations: Antioch, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sun Healthcare & Surgery Group3700 Sunset LN, Antioch, CA 94509-6123(925) 979-8313 Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crut… Accepts assignmentParticipating since Feb 27, 2017

National Provider Directory

National Provider Directory

Locations

3711 Sunset Ln
Ste E
Antioch, CA 94509

1320 Tara Hills Dr
Pinole, CA 94564

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1609328129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ARNOLD DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534219",
            "telephone_number": "502-265-6433",
            "fax_number": "866-735-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN STE 1",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096123",
            "telephone_number": "925-979-8313",
            "fax_number": "025-954-6959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Arnold Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945534219",
            "country_code": "US",
            "telephone_number": "502-265-6433",
            "fax_number": "866-735-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN HEALTHCARE AND SURGERY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "XINGBO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-434-9194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XINGBO P SUN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "XINGBO P SUN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.