Sun Medical Corporation

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

A72737 Issued in CA

Legal business name

SUN MEDICAL CORPORATION

Practice address

5475 E la Palma Ave
Ste 209
Anaheim, CA 92807-2075

Phone

(714) 637-1900

Fax

(866) 551-6625

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James (Jim, Jimmy) Jyh-Ming Sun, M.D.

Title

Ceo

Phone

(714) 692-2629

Specialties & licenses 1

Addresses

Other names 1

• Sun Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1325/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Jimmy Jyh-Ming Sun, MD

  • Otolaryngology Physician
  • Corona, CA
  • NPI 1073590907
  Medicare reassignment

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1700064243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "STE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-637-1900",
            "fax_number": "866-551-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "STE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-637-1900",
            "fax_number": "866-551-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JAMES (JIM, JIMMY)",
        "authorized_official_middle_name": "JYH-MING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-692-2629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A72737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaelene Miracle Summerall
• Summerville at Fairwood Manor, LLC
• Summit Clinical Laboratory, Inc.
• Sun Eun Enterprise, Inc.
• Sun Mar Healthcare, Inc
• Sun Medical Group, Inc.
• Chien Sun, M.D.
• Hong Sun
• James Sun
• Jennifer Sun

• Otolaryngology/Facial Plastic Surgery Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.