Sunil Sujan, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63079 Issued in CA

Legal business name

SUNIL SUJAN, M.D., INC.

Practice address

800 S Main St
Corona, CA 92882-3420

Phone

(951) 736-6325

NPI assigned

Sep 12, 2007

Reactivated

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sunil SujanNPI 1598740474

Title

M.D.

Phone

(310) 351-4566

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunil G. Sujan, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1598740474
  Authorized official Same address or phone

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1831384783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "SUITE 997",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823420",
            "telephone_number": "951-736-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL SUJAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "deactivation_date": "2020-07-02",
        "reactivation_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SUJAN",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-351-4566",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicity Shyenne Sumner
• Christine Voeltner Sumpter, MS, LMFT
• Christine H Sun, M.D.
• Jimmy Jyh-Ming Sun, MD
• Brandon Sundquist
• Sunrise Homehealth Care Corp
• Sunrise Medical Associates Inc
• Sunrise Post Acute Services Inc
• Superior Care Pharmacy Inc (Superior Care Pharmacy)
• Samira Suradi

• Internal Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.