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Elaine Sun

Physician Assistant in Alhambra, CA. Individual provider (NPI-1).

NPI number1174257232
StatusActive
Last updated in NPPESNov 4, 2024

Details

NPI
1174257232
Entity type
Individual (NPI-1)
Name
Elaine Sun
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2022
Certification date
Nov 4, 2024
Last updated
Nov 4, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

1000 S Fremont Ave
Alhambra, CA 91803-8800

Phone 626-457-4240

Mailing address

1304 De Haro St
San Francisco, CA 94107-3239

Phone 949-562-9644

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Alhambra, CA

All 75 Physician Assistant providers in Alhambra · All 2,391 providers in Alhambra

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