Individual provider Active NPI

Xihua Sun, M.D. ,M.S.

  • Specialist
  • San Jose, CA
National Provider Identifier
1851326672
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A55886 Issued in CA
Practice address
361 S Monroe St
San Jose, CA 95128-5107
Phone
(408) 557-0550
Fax
(408) 248-4591
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A55886 CA Primary

Addresses

Primary practice location

361 S Monroe St
San Jose, CA 95128-5107

Mailing address

361 S Monroe St
San Jose, CA 95128-5107
Phone (408) 557-0550

Other identifiers 1

IdentifierTypeStateIssuer
00A558861OtherCAMEDICARE ID

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
I20050602000838 CA Practitioner - Neurology 2567405376 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

349 S Monroe St
Suite 40
San Jose, CA 95128-5107
Phone (408) 557-0550

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55886CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Imaging Center Past Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: xsun126039@santaclaravalley.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1851326672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S MONROE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285107",
            "telephone_number": "408-557-0550",
            "fax_number": "408-248-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 S MONROE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285107",
            "telephone_number": "408-557-0550",
            "fax_number": "408-248-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "XIHUA",
        "name_prefix": "Dr.",
        "credential": "M.D. ,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A55886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00A558861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.