| Sun Medical Group, Inc | |
|
27522 Antonio Pkwy Ste P3 Ladera Ranch CA 92694-2166 | |
| (714) 337-9393 | |
| Not Available |
| Full Name | Sun Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27522 Antonio Pkwy Ste P3, Ladera Ranch, California |
| Authorized Official Name and Position | Miranda De Luna (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3162147764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Medical Group, Inc Po Box 519 Lake Forest CA 92609-0519 Ph: (949) 207-3786 | Sun Medical Group, Inc 27522 Antonio Pkwy Ste P3 Ladera Ranch CA 92694-2166 Ph: (714) 337-9393 |
| NPI Number | 1114588704 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 8426388810 |
|---|---|
| Medicare Enrollment ID | O20190927001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114588704 | NPI | - | NPPES |
| Provider Name | Jonathan C Tsao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225071384 PECOS PAC ID: 7012801632 Enrollment ID: I20040212000684 |
| Provider Name | Gurmander S Kohli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225066962 PECOS PAC ID: 7113934886 Enrollment ID: I20060321000655 |
| Provider Name | Vladislav N Melnichenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528348273 PECOS PAC ID: 3072784420 Enrollment ID: I20120130000845 |
| Provider Name | Arturo Portales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801035886 PECOS PAC ID: 5597754085 Enrollment ID: I20120608000501 |
| Provider Name | Miranda F De Luna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023235819 PECOS PAC ID: 1557454469 Enrollment ID: I20121219000474 |
| Provider Name | Karizza B Asper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287055 PECOS PAC ID: 7315168259 Enrollment ID: I20141017002374 |
| Provider Name | Lisa G. Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083099 PECOS PAC ID: 0648578468 Enrollment ID: I20160412001352 |
| Provider Name | Sharon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073649 PECOS PAC ID: 4688903172 Enrollment ID: I20190909002732 |
| Provider Name | Feng Xiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649800913 PECOS PAC ID: 7214366418 Enrollment ID: I20200409002679 |
| Provider Name | Parisa Shirkhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164188975 PECOS PAC ID: 9830589829 Enrollment ID: I20211206002801 |
| Provider Name | Michelle C Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952963498 PECOS PAC ID: 6800271636 Enrollment ID: I20220915000995 |
| Provider Name | Terrill King Haws |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275742223 PECOS PAC ID: 2668496209 Enrollment ID: I20230607000867 |
| Provider Name | Krystle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396348975 PECOS PAC ID: 5890184667 Enrollment ID: I20230721002258 |
| Provider Name | Melika Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376814202 PECOS PAC ID: 7618193160 Enrollment ID: I20230823004723 |
| Provider Name | Rebecca Moldovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942930201 PECOS PAC ID: 6709226889 Enrollment ID: I20240507001274 |
| Provider Name | Helen Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710619127 PECOS PAC ID: 0547618365 Enrollment ID: I20240819003612 |
| Provider Name | Martha Chavez-rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073384608 PECOS PAC ID: 8325562002 Enrollment ID: I20250403003802 |
Karl J Gebhard Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Corporate Dr, Suite 100, Ladera Ranch, CA 92694 Phone: 949-364-9112 Fax: 949-582-2943 | |
Opitmal Health Medical Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Corporate Dr Ste 100, Ladera Ranch, CA 92694 Phone: 949-680-1880 | |
Borecky Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Corporate Dr Ste 260, Ladera Ranch, CA 92694 Phone: 909-255-1905 Fax: 909-265-9463 | |
Summit Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694 Phone: 949-529-2330 Fax: 866-800-5276 | |
Kelly E Fordyce Md A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 Corporate Dr Ste 140, Ladera Ranch, CA 92694 Phone: 949-409-4868 Fax: 949-409-4898 | |
Medx Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 Corporate Dr Ste 150, Ladera Ranch, CA 92694 Phone: 949-836-8120 |