Individual provider Active NPI

Joannie D Sun, MD

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1881780229
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A72709 Issued in CA
Practice address
230 Newport Center Dr
Suite 200
Newport Beach, CA 92660-7509
Phone
(949) 706-7766
Fax
(949) 706-2211
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A72709 CA Primary

Addresses

Primary practice location

230 Newport Center Dr
Suite 200
Newport Beach, CA 92660-7509

Mailing address

230 Newport Center Dr
Suite 200
Newport Beach, CA 92660-7509
Phone (949) 706-7766

Other identifiers 1

IdentifierTypeStateIssuer
00A727090OtherCABLUE SHIELD OF CALIFORNIA

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
I20040709001399 CA Practitioner - DermatologyPractitioner - Internal Medicine 4587642194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
University of Washington School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Associates of Orange County IncGroup PAC ID 8325137284, 2 clinicians

Practice addresses (Care Compare)

230 Newport Ctr Dr
Suite 200
Newport Beach, CA 92660-7510
Phone (949) 706-7766

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as individual
Quality
76.3
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1825
Removal of skin cancer211
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72709CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Orange County, Inc Dermatology CurrentSince Jul 12, 2007 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

31862 Coast Hwy
Ste 201
Laguna Beach, CA 92651
Phone (949) 499-4526

230 Newport Center Dr
Newport Beach, CA 92660

230 Newport Center Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 706-7766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJEEAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1881780229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NEWPORT CENTER DR",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607509",
            "telephone_number": "949-706-7766",
            "fax_number": "949-706-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NEWPORT CENTER DR",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607509",
            "telephone_number": "949-706-7766",
            "fax_number": "949-706-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JOANNIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A72709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A727090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.