Sunshine Anesthesia a Medical Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G27171 Issued in CA

Legal business name

SUNSHINE ANESTHESIA A MEDICAL CORPORATION

Practice address

38069 Martha Ave
Suite 300
Fremont, CA 94536-3811

Phone

(510) 744-9153

Fax

(510) 744-9399

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Rachel Anna Moore

Title

Practice Administrator

Phone

(415) 846-1803

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1972529162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363811",
            "telephone_number": "510-744-9153",
            "fax_number": "510-744-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363811",
            "telephone_number": "510-744-9153",
            "fax_number": "510-744-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ANESTHESIA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "415-846-1803"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G28782",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G27171",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G28782",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G27171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G271710",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G287820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monisha Sundararajan, DMD
• Kiah Sundermeir, ATC
• Sui-Kwong Sung, M.D.
• Rao Sunkavally, M.D.
• Sunol Hills at Fremont
• Monica Andrea Sunzeri Hernandez, BCBA
• Racquel Suratos
• Mary Surdilla, P.A-C
• Priyanka Suresh, M.S., CCC-SLP
• Krishna Chaitanya Suri, DO

• All providers in Fremont, CA
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.