Sun Primary Care Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

773335 Issued in TX

Legal business name

SUN PRIMARY CARE CLINIC, PLLC

Practice address

4747 Bellaire Blvd
Suite 101
Bellaire, TX 77401-4527

Phone

(832) 780-9598

Fax

(206) 666-4377

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Ghazavi, ANPNPI 1679810873

Title

Nurse Practitioner

Phone

(281) 818-8448

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali Ghazavi, ANP

  • Adult Health Nurse Practitioner
  • Bellaire, TX
  • NPI 1679810873
  Authorized official Same address or phone

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1699147611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10731 LONGMONT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422311",
            "telephone_number": "713-242-1248",
            "fax_number": "206-666-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "SUITE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014527",
            "telephone_number": "832-780-9598",
            "fax_number": "206-666-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PRIMARY CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "GHAZAVI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "281-818-8448",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "773335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah James Stulberg, M.D., PH.D., M.P.H.
• Angela Kay Sturm, MD
• Anne Su, PSY.D.
• Summit Diagnostics I LLC
• Summit Family Practice, PLLC
• Supriya Ramanathan MD PA
• Deepa Suresh, M.D.
• Surgical Eye Experts LLC
• John Kilpatrick Surratt, M.D.
• Elisheva Sussman, MS,CCC - SLP

• Primary Care Clinic/Center in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.