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KRYSTAL SUN PA-C
NPI 1174060115
Physician Assistant in San Ramon, CA

Active since January 29, 2017
88.37/100
CMS Quality Rating
101 PARK PL STE 200, SAN RAMON, CA 94583(925) 837-6000(925) 837-6011 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, May 2, 2019, Apr 13, 2017 and 1 more (4 updates tracked since 2017).

About Krystal Sun Pa-c NPPES

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

KRYSTAL SUN PA-C (NPI 1174060115) is an individual physician assistant in San Ramon, California, licensed in California (54167) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1174060115
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRYSTAL SUNCredential: PA-C
Location Address101 PARK PL STE 200San Ramon, CA 94583-1761
Mailing Address101 Park Pl Ste 200San Ramon, CA 94583-1761 · (925) 837-6000 · Fax (925) 837-6011
Phone(925) 837-6000
Fax(925) 837-6011
Sole ProprietorNo
Enumeration DateJanuary 29, 2017
Last NPPES UpdateJune 11, 20194 updates tracked since enumeration
✔ NPI 1174060115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 54167
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 PARK PL STE 200, San Ramon, CA 94583
Open in Google Maps ↗

Other Identifiers 1

MedicaidH28824CA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.25
Promoting Interoperability100
Improvement Activities40
Cost76

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHEL RAAD DDS
Dentist (Prosthodontics)
101 PARK PL STE 200
SAN RAMON, CA 94583
Contra Costa County (925) 922-4633

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 Krystal Sun's NPI number?

The NPI number for Krystal Sun is 1174060115. It was assigned to this individual provider in the NPPES registry on January 29, 2017.

Where is Krystal Sun located?

Krystal Sun practices at 101 Park Pl Ste 200, San Ramon, CA 94583. The listed phone number is (925) 837-6000.

What is Krystal Sun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Krystal Sun was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.