Sun Health Medical Clinic Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUN HEALTH MEDICAL CLINIC PROFESSIONAL CORPORATION

Practice address

2931 Jarvis St
San Diego, CA 92106-2314

Phone

(619) 239-4979

Fax

(619) 239-5960

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Sunita Shailam, M.D.NPI 1174625933

Title

Medical Director

Phone

(619) 239-4979

Specialties & licenses 1

Addresses

Other names 2

• Sun Health Medical Clinic Doing business as
• Sun Health Medical Clinic, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• Sunita Shailam, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1174625933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1669574471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 JARVIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062314",
            "telephone_number": "619-239-4979",
            "fax_number": "619-239-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 JARVIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062314",
            "telephone_number": "619-239-4979",
            "fax_number": "619-239-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH MEDICAL CLINIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "SHAILAM",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-239-4979",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Health Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun Health Medical Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Sumner
• Ryan James Sumner, MPT
• Salina Sumner, TRAINED DOULA
• Sun Angel Health, Inc.
• Sun Genomics, Inc.
• Ni Sun-Suslow
• Alex Wang Sun, M.D
• Christie Sun, M.D.
• Dao-I Sun, L.AC.
• Darien Sun

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.