Individual provider Active NPI

Sam Sundar, MD

  • Internal Medicine Physician
  • Concord, CA
National Provider Identifier
1801904545
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A26493 Issued in CA
Practice address
2415 High School Ave
Suite 700
Concord, CA 94520
Phone
(925) 680-6846
Fax
(925) 680-6957
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A26493 CA Primary

Addresses

Primary practice location

2415 High School Ave
Suite 700
Concord, CA 94520

Mailing address

2415 High School Ave
Suite 700
Concord, CA 94520
Phone (925) 680-6846

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001471 CA Practitioner - Internal Medicine 4789870684 Practice locations: Concord, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A26493CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Health Medical Group of California Internal Medicine PastSince Jan 1, 2023 Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1801904545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE",
            "address_2": "SUITE 700",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-680-6846",
            "fax_number": "925-680-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE",
            "address_2": "SUITE 700",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-680-6846",
            "fax_number": "925-680-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAR",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A26493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.