Eugene Sung, DC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA59264 Issued in CA

Practice address

2001 Santa Monica Blvd Ste 560W
Santa Monica, CA 90404-2182

Phone

(310) 453-5654

NPI assigned

Aug 30, 2010

Reactivated

May 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

Interoperability endpoints

• Direct secure messaging: eugene.sung.p45@direct.omnieyeatlanta.nextgenshare.com

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.

• Beverly Hills Oncology Medical Group Inc

  dba Beverly Hills Cancer Center

  • Oncology Clinic/Center
  • Beverly Hills, CA
  • NPI 1427256957
  Medicare reassignment
• The Regents of the University of California

  dba UCLA Dept of Medicine

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566
  Medicare reassignment
• Armand Bouzaglou MD Apc

  • Radiation Oncology Physician
  • Los Angeles, CA
  • NPI 1457521510
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1811562028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 560W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 560W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042182",
            "telephone_number": "310-453-5654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Wilshire Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111967",
            "country_code": "US",
            "telephone_number": "310-432-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "replacement_npi": "1811562028",
        "last_name": "SUNG",
        "first_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "DC, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "deactivation_date": "2021-05-18",
        "reactivation_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30886",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Sun
• Wendy Yuweng Sun, MD
• Grace Sund
• Sundance Physical Therapy
• Brooke Alida Sundin
• Ha Yeon Sung, PHARMD
• Jeff D Sung, MD
• Sunset Park Healthcare LLC (Sunset Park Healthcare)
• Elizabeth Kim Sunu, MD
• Denise K Sur

• Physician Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.