NPIMap

Individual provider Active NPI

Peter P. Sun, M.D.

  • Neurological Surgery Physician
  • Oakland, CA
National Provider Identifier
1972590354
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G76016 Issued in CA
Practice address
744 52ND St
5TH Floor
Oakland, CA 94609-1810
Phone
(510) 428-3319
Fax
(510) 597-7034
NPI assigned
Sep 30, 2005
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G76016 CA Primary

Addresses

Primary practice location

744 52ND St
5TH Floor
Oakland, CA 94609-1810

Mailing address

744 52ND St
5TH Floor
Oakland, CA 94609-1810
Phone (510) 428-3319

Other identifiers 1

IdentifierTypeStateIssuer
00G760160MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190708001979 CA Practitioner - Neurosurgery 0648505065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76016CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince May 14, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 14, 2019 Accepting new patients
UCSF Medical Group Business Services Neurological Surgery CurrentSince May 14, 2019 Accepting new patients
University of California San Francisco CurrentSince May 14, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Childrens Hospital of Philadelphia Past Accepting new patients
John Muir Health Past Accepting new patients
Northern Calif Childrens Hematology & Oncology Med GRP Inc Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
Ste 110
San Francisco, CA 94118

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2401 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 979-4000

2401 Shadelands Dr
Ste 180
Walnut Creek, CA 94598
Phone (925) 979-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: psun16184@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1972590354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 52ND ST",
            "address_2": "5TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091810",
            "telephone_number": "510-428-3319",
            "fax_number": "510-597-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 52ND ST",
            "address_2": "5TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091810",
            "telephone_number": "510-428-3319",
            "fax_number": "510-597-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "PETER",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G76016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G760160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.