Active NPI
Bo Sun
- Family Nurse Practitioner
- San Gabriel, CA
National Provider Identifier
1881121416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004617
- Practice address
- 207 S Santa Anita St Ste 330
San Gabriel, CA 91776-1154 - Phone
- (626) 458-1888
- NPI assigned
- May 14, 2017
- Last updated
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004617 | CA | Primary |
Addresses
Primary practice location
207 S Santa Anita St Ste 330
San Gabriel, CA 91776-1154
Mailing address
316 E Las Tunas Dr
San Gabriel, CA 91776-1535
Other practice location 1
316 E Las Tunas Dr Ste 103
San Gabriel, CA 91776-1535
Phone (626) 287-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004617 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorna Kong-Thein MD Apc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1881121416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 E LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA ST STE 330",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761154",
"telephone_number": "626-458-1888"
}
],
"practiceLocations": [
{
"address_1": "316 E Las Tunas Dr Ste 103",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917761535",
"country_code": "US",
"telephone_number": "626-287-9949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUN",
"first_name": "BO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-14",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.