Active NPI
Yun Sung, DDS
- Dentist
- San Leandro, CA
National Provider Identifier
1972145233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104446
- Practice address
- 1598 Washington Ave
San Leandro, CA 94577-4465 - Phone
- (510) 545-4588
- NPI assigned
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104446 | CA | Primary |
Addresses
Primary practice location
1598 Washington Ave
San Leandro, CA 94577-4465
Mailing address
900 Folsom St Apt 329
San Francisco, CA 94107-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104446 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1972145233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FOLSOM ST APT 329",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1598 WASHINGTON AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774465",
"telephone_number": "510-545-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "YUN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.