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DR. JACK SUN MD MSC NPI 1043518251


NPI Information

NPI: 1043518251
Provider Name: DR. JACK SUN, MD, MSC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1520 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-5907
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DR. Jack Sun, MD, MSC is a thoracic surgery cardiothoracic vascular surgery in Los Angeles, CA with 20 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Jack Sun, MD, MSC NPI is 1043518251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1520 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033-310
Phone: (323) 442-5907

The NPI 1043518251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Replacement of aortic valve with prosthetic valve, accessed through the skin (HCPCS:33361)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)
  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)

The enumeration date for this NPI number is 3/11/2011 and was last updated on 7/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD60226713WASHINGTONNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)A128359CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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