Audrey Sun

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1220622 Issued in CA

Practice address

9460 Cuyamaca St Ste 104
Santee, CA 92071-5921

Phone

(619) 569-1790

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daubmd Inc

  • Community Health Clinic/Center
  • Santee, CA
  • NPI 1043564198
  Medicare reassignment

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1699512590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 BLUE POINT DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113419",
            "telephone_number": "760-855-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 CUYAMACA ST STE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715921",
            "telephone_number": "619-569-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "1220622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Strahle, MA, CCC-SLP
• Daniel Strauss, DPT
• Graciela Streeter, CLC
• Kirsten Stretton, PPS CREDENTIAL
• Marisa Eden Strobridge, DO
• Sweetbriar Marriage and Family Therapy Corporation
• Debie Ai Taguchi, L.AC.
• Diana Taiz, DMD
• Wilson Tam
• Emmanuel Gonzales Tanay

• Physician Assistant in Santee, CA
• Providers in Santee, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.