Individual provider Active NPI

Ji Sun, PHARMD/PH.D.

  • Oncology Pharmacist
  • La Jolla, CA
National Provider Identifier
1720734569
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
RPH60582 Issued in CA
Practice address
9452 Medical Center Dr RM 1E314
La Jolla, CA 92093-0897
Phone
(858) 822-2805
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835N1003X RPH60582 CA
Oncology PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835X0200X RPH60582 CA Primary

Addresses

Primary practice location

9452 Medical Center Dr RM 1E314
La Jolla, CA 92093-0897

Mailing address

9452 Medical Center Dr RM 1E314
La Jolla, CA 92093-0897
Phone (858) 822-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH60582CAMDNutrition Support Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1720734569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9452 MEDICAL CENTER DR RM 1E314",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930897",
            "telephone_number": "858-822-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9452 MEDICAL CENTER DR RM 1E314",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930897",
            "telephone_number": "858-822-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JI",
        "credential": "PHARMD/PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Nutrition Support",
            "state": "CA",
            "license": "RPH60582",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "RPH60582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.