Individual provider Active NPI

Sarun Soon, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1972039444
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54212 Issued in CA
Practice address
5757 Wilshire Blvd Ste 660
Los Angeles, CA 90036-3691
Phone
(323) 932-9880
Fax
(323) 932-9829
NPI assigned
May 3, 2017
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54212 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 660
Los Angeles, CA 90036-3691

Mailing address

5757 Wilshire Blvd Ste 660
Los Angeles, CA 90036-3691
Phone (310) 717-8071

Other practice location 1

1400 S Grand Ave Ste 707
Los Angeles, CA 90015-2881
Phone (213) 839-1119

Other practice location 2

1400 S Grand Ave Ste 707
Los Angeles, CA 90015-2881
Phone (213) 839-1119

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621002971 CA Practitioner - Physician Assistant 6406124106 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians

Practice addresses (Care Compare)

1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54212CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Jun 5, 2017 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Jun 5, 2017 Accepting new patients
Quality Wound Care PC CurrentSince Nov 1, 2025 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Prime Mobile Physicians Network, Inc PastSince Jun 1, 2020 Accepting new patients

Locations

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1400 S Grand Ave
Ste 707
Los Angeles, CA 90015
Phone (213) 839-1119

5757 Wilshire Blvd
Ste 660
Los Angeles, CA 90036
Phone (323) 930-2386

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

Interoperability endpoints

  • Direct secure messaging: sarun.soon@398008301912068.direct.elationemr.com

Organizations & group practices 9

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1972039444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 660",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363691",
            "telephone_number": "310-717-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 660",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363691",
            "telephone_number": "323-932-9880",
            "fax_number": "323-932-9829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Grand Ave Ste 707",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900152881",
            "country_code": "US",
            "telephone_number": "213-839-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Grand Ave Ste 707",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900152881",
            "country_code": "US",
            "telephone_number": "213-839-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOON",
        "first_name": "SARUN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.