SUNRISE MULTI-SPECIALTY MEDICAL GROUP
NPI 1104960749
Family Medicine in Tustin, CA

Active since February 16, 2007
2492 WALNUT AVE, SUITE 110, TUSTIN, CA 92780(714) 669-1997(714) 573-7424 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sunrise Multi-specialty Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE MULTI-SPECIALTY MEDICAL GROUP (NPI 1104960749) is a healthcare organization registered as a family medicine in Tustin, California and active in the NPI registry since February 2007. The organization lists Sunil Mapara, President, as its authorized official.

NPPES Registry Identity

NPI1104960749
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameS M MULTISPECIALTY MEDICAL CORPORATION
Location Address2492 WALNUT AVE, SUITE 110Tustin, CA 92780-6953
Mailing Address2492 Walnut Ave, Suite 110Tustin, CA 92780-6953 · (714) 669-1997 · Fax (714) 573-7424
Fax(714) 573-7424
Organization SubpartNo
Authorized OfficialSunil MaparaPresident · (714) 970-0911
Enumeration DateFebruary 16, 2007
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1104960749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A37744
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 20A8503 (CA)
2492 WALNUT AVE, Tustin, CA 92780

Other Names 1

Doing Business AsSunrise Multi-specialty Medical Group

Other Identifiers 1

OtherA37744CA · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunrise Multi-specialty Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sunrise Multi-Specialty Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1386777472
5475 E LA PALMA AVE 100
Anaheim, CA 92807
(714) 970-0911
✔ PECOS✔ Accepts Medicare9.9 mi
Family Practice
NPI 1316234511
13330 BLOOMFIELD AVE SUITE A
Norwalk, CA 90650
(562) 789-5434
✔ PECOS✔ Accepts Medicare20 mi

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 S M Multispecialty Medical Corporation's NPI number?

The NPI number for S M Multispecialty Medical Corporation is 1104960749. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is doing business as Sunrise Multi-Specialty Medical Group.

Where is S M Multispecialty Medical Corporation located?

S M Multispecialty Medical Corporation is located at 2492 Walnut Ave Suite 110, Tustin, CA 92780. The listed phone number is (714) 669-1997.

What is S M Multispecialty Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is S M Multispecialty Medical Corporation enrolled in Medicare?

Yes. S M Multispecialty Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S M Multispecialty Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to S M Multispecialty Medical Corporation. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for S M Multispecialty Medical Corporation was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.