Sun Healthcare And Surgery Group INC
Podiatrist in Antioch, CA. Organization (NPI-2).
NPI number1609328129
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1609328129
- Entity type
- Organization (NPI-2)
- Legal business name
- Sun Healthcare And Surgery Group INC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2016
- Certification date
- Nov 27, 2023
- Last updated
- Nov 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Other names
- Xingbo P Sun (Doing Business As)
Practice location
3700 Sunset Ln Ste 1Antioch, CA 94509-6123
Phone 925-979-8313 · Fax 025-954-6959
Mailing address
1815 Arnold DrMartinez, CA 94553-4219
Phone 502-265-6433 · Fax 866-735-9266
Other practice locations
1815 Arnold Dr
Martinez, CA 94553-4219
Martinez, CA 94553-4219
Phone 502-265-6433 · Fax 866-735-9266
Authorized official
Xingbo P Sun
President
6264349194
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