Sally S. Sun, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A31180 Issued in CA

Practice address

288 S San Gabriel Blvd
Ste 206
San Gabriel, CA 91776-1668

Phone

(559) 431-8296

Fax

(559) 431-8296

NPI assigned

Jun 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sally Sut- Yee Sun Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Newmed Health Center Inc

  • Family Medicine Physician
  • Rosemead, CA
  • NPI 1275695181
  NPD Authorized official
• A Sun Medical Clinic Co

  • Family Medicine Physician
  • San Gabriel, CA
  • NPI 1447477898
  NPD (past)
• Aaron I Jeng MD Inc

  • General Acute Care Hospital
  • Arcadia, CA
  • NPI 1164831293
  NPD (past)

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1912227547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S SAN GABRIEL BLVD",
            "address_2": "STE 206",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761668",
            "telephone_number": "559-431-8296",
            "fax_number": "559-431-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S SAN GABRIEL BLVD",
            "address_2": "STE 206",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761668",
            "telephone_number": "559-431-8296",
            "fax_number": "559-431-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SALLY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-05",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "SUN",
            "middle_name": "SUT- YEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sun Healing Arts Group Clinic
• Bo Sun
• Fei Sun, L. AC.
• Hong Sun, D. D. S.
• Liqin Sun
• Sundentalcorp
• Tom Yue Tung Sung, PHYSICAL THERAPIST
• Sunnyday Health Service Corp.
• Susie S K Kay M D a Professional Corporation
• Svpa LLC

• General Practice Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.