SUSAN SUN (NPI# 1598122848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598122848 |
Entity Type | Individual |
Full Name | SUSAN SUN |
Practice Address |
711 Fairmount Ave Pasadena CA 91105-3103 |
Practice Telephone | 6263975959 |
Mailing Telephone | 6263975959 |
Enumeration Date | 2016-01-18 |
Last Update Date | 2016-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 95003393 | CA | Ambulatory Health Care Facilities |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003393 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174003412 | Susan Sun | Acupuncturist | 2415 S Glendale St, Wichita, KS 67210-1202 | 2018-08-16 |
1265995625 | Susan Sun | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2019-04-11 |
1891071346 | Susan Sun | Pharmacist | 1630 Ocean Ave, San Francisco, CA 94112-1718 | 2011-10-28 |
1225197973 | Susan Z. Sun | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
1871685578 | Susan Sun | Internal Medicine | 250 Bon Air Road, Greenbrae, CA 94984 | 2006-09-29 |
Street Address |
711 FAIRMOUNT AVE |
City | PASADENA |
State | CA |
Zip Code | 91105-3103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538208111 | Arvid Eugen Underman | Internal Medicine | 711 Fairmount Ave, Room 1-11, Pasadena, CA 91105-3103 | 2007-02-06 |
1902185911 | Melinda Drury Gonzalez | Nurse Practitioner | 711 Fairmount Ave, Pasadena, CA 91105-3103 | 2011-08-08 |
1265689442 | Kenneth Chen | Internal Medicine | 711 Fairmount Ave, Pasadena, CA 91105-3103 | 2008-08-19 |
1396900650 | Pasadena Hosptial Association, Ltd. | General Acute Care Hospital | 711 Fairmount Ave, Pasadena, CA 91105-3103 | 2008-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
Find all providers in zip 91105 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528691417 | Mindful Healing Heart Reiki & Acupuncture Corp. | Clinic/Center | 2801 E Foothill Blvd, Pasadena, CA 91107-3463 | 2020-02-19 |
1639619414 | Lysander Jim, M.d. Inc | Clinic/Center | 452 N Altadena Dr, Pasadena, CA 91107-2536 | 2017-02-27 |
1083076442 | Kevin Farnam, M.d., Inc. | Clinic/Center | 65 N Madison Ave Ste 202, Pasadena, CA 91101-5248 | 2016-03-24 |
1235599598 | White Memorial Medical Center | Clinic/Center | 259 N Euclid Ave, Apt 12, Pasadena, CA 91101-1516 | 2016-02-29 |
1154714772 | R&r Clinical | Clinic/Center | 1403 N Fair Oaks Ave Ste 1, Pasadena, CA 91103-1865 | 2015-03-06 |
1184963183 | Cac-family Medical Centers | Clinic/Center | 3901 Spencer Hwy, Pasadena, TX 77504-1205 | 2013-02-11 |
1295053023 | Cal Tex Medical Management Associates, LLC | Clinic/Center | 908 E Southmore Ave Ste 340, Pasadena, TX 77502-1133 | 2010-05-04 |
1912237702 | Fairmont Weight Loss Clinic LLC | Clinic/Center | 4416 Fairmont Pkwy Ste 108, Pasadena, TX 77504-3327 | 2009-12-30 |
1700019882 | Zuhair Albana Md Pa | Clinic/Center | 1946 Pasadena Blvd, Pasadena, TX 77502-2742 | 2009-08-24 |
1144434341 | Laser Eye Care of California, LLC | Clinic/Center | 790 E Colorado Blvd, Ste. 100, Pasadena, CA 91101-2113 | 2007-05-09 |
Find all providers in PASADENA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.