Individual provider Active NPI

Victor Isip Sunga, M.D.

  • Family Medicine Physician
  • Tulare, CA
National Provider Identifier
1932145315
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A91232 Issued in CA
Practice address
1101 N Cherry St
Tulare, CA 93274-2231
Phone
(559) 686-9097
Fax
(559) 686-4750
NPI assigned
Jun 22, 2006
Last updated
Jan 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080188 MI
Family Medicine Physician 207Q00000X A91232 CA Primary

Addresses

Primary practice location

1101 N Cherry St
Tulare, CA 93274-2231

Mailing address

1101 N Cherry St
Tulare, CA 93274-2231
Phone (559) 685-4622

Other identifiers 2

IdentifierTypeStateIssuer
05362249OtherECFMG NUMBER
4775071MedicaidMI

Other names 1

  • Dr. Victor Isip Sunga Professional name

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
I20260515003774 CA Order and Referring Only - Family PracticePractitioner - Family Practice 3476500950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91232CAMDFamily Medicine Physician
4301080188MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Detroit Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Center for Weight Management Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: victor.sunga.p1@direct.altura.nextgenshare.com

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, 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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1932145315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742231",
            "telephone_number": "559-685-4622",
            "fax_number": "559-686-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742231",
            "telephone_number": "559-686-9097",
            "fax_number": "559-686-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNGA",
        "first_name": "VICTOR",
        "middle_name": "ISIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080188",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "05362249",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "SUNGA",
            "middle_name": "ISIP",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.