SUNNY MANN MD INC
NPI 1104609122
Family Medicine - Addiction Medicine in Stockton, CA
About Sunny Mann Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNNY MANN MD INC (NPI 1104609122) is a healthcare organization registered as an addiction medicine in Stockton, California and active in the NPI registry since August 2023. The organization lists Sandeep Mann, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunny Mann Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sunny Mann MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sunny Mann MD Inc's NPI number?
The NPI number for Sunny Mann MD Inc is 1104609122. It was assigned to this organization in the NPPES registry on August 15, 2023.
Where is Sunny Mann MD Inc located?
Sunny Mann MD Inc is located at 2216 N California St Ste A, Stockton, CA 95204. The listed phone number is (209) 851-2065.
What is Sunny Mann MD Inc's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Sunny Mann MD Inc enrolled in Medicare?
Yes. Sunny Mann MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sunny Mann MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Sunny Mann MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sunny Mann MD Inc was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sunny Mann Md Inc · NPI 1104609122
Addiction Medicine organization in Stockton, California. Organization record, active in the CMS NPPES registry since August 15, 2023.
## Identity
- **NPI:** 1104609122 (Entity type: Organization)
- **Enumerated:** August 15, 2023
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Organization subpart:** No
- **Authorized official:** Sandeep Mann, OWNER
## Practice location
- **Address:** 2216 N CALIFORNIA ST STE A, Stockton, CA 95204-5533
- **Phone:** (209) 851-2065 · **Fax:** (209) 292-8910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Addiction Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104609122) · Data from the CMS NPPES public registry.