Tong Sun (NPI# 1629161336, PAC ID# 9133223746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1629161336 |
| PAC ID by PECOS | 9133223746 |
| Professional Enrollment ID | I20070409000166 |
| Full Name | Tong Sun |
| Organization Legal Name | MODESTO KIDNEY MEDICAL GROUP |
| Address |
305 E Granger Ave Suite 202 Modesto CA 95350-4344 |
| Phone Number | 2095261606 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 1052395795 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050464 | DOCTORS MEDICAL CENTER |
| 050557 | MEMORIAL MEDICAL CENTER |
| 050179 | EMANUEL MEDICAL CENTER |
| 050067 | OAK VALLEY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 | 2095261606 | MODESTO KIDNEY MEDICAL GROUP |
| Organization Legal Name | MODESTO KIDNEY MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Kanshing Liu | Nephrology | Modesto Kidney Medical Group | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 |
| Chang S Joo | Nephrology | Modesto Kidney Medical Group | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 |
| Yuqiang Ge | Nephrology | Modesto Kidney Medical Group | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 |
| Street Address |
305 E GRANGER AVE SUITE 202 |
| City | MODESTO |
| State | CA |
| Zip | 95350-4344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Kanshing Liu | Nephrology | Modesto Kidney Medical Group | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 |
| Chang S Joo | Nephrology | Modesto Kidney Medical Group | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 |
| Yuqiang Ge | Nephrology | Modesto Kidney Medical Group | 305 E Granger Ave, Suite 202, Modesto, CA 95350-4344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | NEPHROLOGY |
| City + Specialty | MODESTO + NEPHROLOGY |
Please comment or provide details below to improve the information on Tong Sun.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.