JASON SUN M.D. NPI 1568691830

NPI Information

  • NPI: 1568691830
  • Provider Name: JASON SUN, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36320 INLAND VALLEY DR STE 105
    WILDOMAR, CA
    ZIP 92595
  • Phone: (951) 468-8588

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NPI Details

Jason Sun, M.D. is a radiation oncology radiology in Wildomar, CA with 17 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Jason Sun, M.D. NPI is 1568691830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2009

The provider's business location address is:

36320 INLAND VALLEY DR STE 105
WILDOMAR, CA
ZIP 92595-512
Phone: (951) 468-8588
Fax: (760) 503-5914

The NPI 1568691830 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 enumeration date for this NPI number is 7/8/2009 and was last updated on 7/31/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyMD60242361WASHINGTONNo
22471R0002XRadiologic TechnologistRadiation TherapyNo
3390200000XStudent in an Organized Health Care Education/Training Program241530MASSACHUSETTSNo
42085R0001XRadiologyRadiation OncologyA159761CALIFORNIAYes

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: 11/21/2025

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