Individual provider Active NPI

Brian Jung Sunwoo, DO

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1962962845
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A21379 Issued in CA
Practice address
100 UCLA Medical Plaza Suite 170
Los Angeles, CA 90095-6402
Phone
(310) 319-1234
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 20A21379 CA Primary

Addresses

Primary practice location

100 UCLA Medical Plaza Suite 170
Los Angeles, CA 90095-6402

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1225 15th St Ste 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234

Other practice location 2

1250 16th St Ste 2100
Santa Monica, CA 90404-1249
Phone (310) 319-1234

Other practice location 3

1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone (310) 319-3475

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
I20230713001757 CA Practitioner - Physical Medicine and Rehabilitation 4486014131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
68.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21379CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2024 Accepting new patients
Sharwin Tafazoli Inc Physical Medicine & Rehabilitation CurrentSince Jan 10, 2026 Accepting new patients
Hasan Badday MD PC CurrentSince Oct 10, 2024 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

17264 Red Hill Ave
Irvine, CA 92614
Phone (949) 650-1228

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

Interoperability endpoints

  • Direct secure messaging: bsunwoo1175737@direct.uclahealth.org

Organizations & group practices 4

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1962962845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA SUITE 170",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956402",
            "telephone_number": "310-319-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 15th St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041101",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 16th St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041249",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 Wilshire Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904012072",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNWOO",
        "first_name": "BRIAN",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A21379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.