Patrick Timothy Fusunyan, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

20A24331 Issued in CA

Practice address

1945 Garnet Ave
San Diego, CA 92109-3523

Phone

(858) 224-7977

Fax

(858) 224-7978

NPI assigned

Jun 9, 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SD Sports Medicine and Family Health CenterGroup PAC ID 7113812496, 38 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• SD Sports Medicine and Family Health Center

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1669472510
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1790179539
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1811564776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093523",
            "telephone_number": "858-224-7977",
            "fax_number": "858-224-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093523",
            "telephone_number": "858-224-7977",
            "fax_number": "858-224-7978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Doctors Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162148574",
            "country_code": "US",
            "telephone_number": "814-226-2500",
            "fax_number": "814-226-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSUNYAN",
        "first_name": "PATRICK",
        "middle_name": "TIMOTHY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A24331",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT020938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Fuse
• Billy L Fuson Jr.
• Megan Fuson, RBT
• Roberta L. Fuson, MA/CCC-A
• Mark M Fuster, M.D.
• Shane A Futchko, PA-C
• Lori A. Futterman, PH.D.
• Futuregeneration Laboratories LLC
• Futures Associates Inc.
• FXNL Solutions

• Sports Medicine (Family Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.