NPIMap

Individual provider Active NPI

Tong Sun, MD

  • Nephrology Physician
  • Modesto, CA
National Provider Identifier
1629161336
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A97313 Issued in CA
Practice address
305 E Granger Ave
Ste 202
Modesto, CA 95350-4345
Phone
(209) 526-1606
Fax
(209) 526-1677
NPI assigned
Oct 2, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A97313 CA Primary

Addresses

Primary practice location

305 E Granger Ave
Ste 202
Modesto, CA 95350-4345

Mailing address

305 E Granger Ave
Ste 202
Modesto, CA 95350-4345
Phone (209) 526-1606

Other identifiers 1

IdentifierTypeStateIssuer
00A973130MedicaidCA

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
I20070409000166 CA Practitioner - Nephrology 9133223746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians
Modesto Kidney Medical GroupGroup PAC ID 1052395795, 4 clinicians

Practice addresses (Care Compare)

1524 McHenry Ave
Suite 300
Modesto, CA 95350-4570
Phone (209) 722-4842

305 E Granger Ave
Suite 202
Modesto, CA 95350-4344
Phone (209) 526-1606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97313CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jun 13, 2025 Accepting new patients
Modesto Kidney Medical Group Nephrology CurrentSince Nov 1, 2006 Accepting new patients
Golden Valley Health Center CurrentSince Jun 13, 2025 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Golden Valley Health Center Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 384-6495

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1524 McHenry Ave
Ste 300
Modesto, CA 95350
Phone (209) 527-0615

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

305 E Granger Ave
Ste 202
Modesto, CA 95350
Phone (209) 526-1606

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

1700 Keystone Pacific Pkwy
Unit A2
Patterson, CA 95363
Phone (209) 526-1606

200 C St
Patterson, CA 95363
Phone (209) 892-8441

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

981 E Tuolumne Rd
Ste 108
Turlock, CA 95382
Phone (209) 522-6100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1629161336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E GRANGER AVE",
            "address_2": "STE 202",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504345",
            "telephone_number": "209-526-1606",
            "fax_number": "209-526-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E GRANGER AVE",
            "address_2": "STE 202",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504345",
            "telephone_number": "209-526-1606",
            "fax_number": "209-526-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "TONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A97313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A973130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.