EUNJAE SUNG CRNP
NPI 1235594185
Nurse Practitioner - Primary Care in Gardena, CA
About Eunjae Sung Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EUNJAE SUNG CRNP (NPI 1235594185) is an individual primary care provider in Gardena, California, licensed in California (95010489) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eunjae Sung Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Eunjae Sung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gardena, CA 90247
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Warrenton, VA 20186
- Reassigned Medicare billing, Virginia enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GARDENA, CA 90247
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 Eunjae Sung's NPI number?
The NPI number for Eunjae Sung is 1235594185. It was assigned to this individual provider in the NPPES registry on December 18, 2015.
Where is Eunjae Sung located?
Eunjae Sung practices at 1740 W Gardena Blvd, Gardena, CA 90247. The listed phone number is (164) 804-3637.
What is Eunjae Sung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Eunjae Sung enrolled in Medicare?
Yes. Eunjae Sung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Eunjae Sung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eunjae Sung reassigns Medicare benefits to 2 organizations: St. Luke Medical Arts Inc (Gardena, CA) and Adfinitas Health At Fauquier, LLC (Warrenton, VA). Each 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 Eunjae Sung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eunjae Sung was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eunjae Sung, CRNP · NPI 1235594185
Primary Care physician in Gardena, California. Individual provider, active in the CMS NPPES registry since December 18, 2015.
## Identity
- **NPI:** 1235594185 (Entity type: Individual)
- **Enumerated:** December 18, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95010489 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1740 W GARDENA BLVD, Gardena, CA 90247-4764
- **Phone:** (164) 804-3637
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Luke Medical Arts Inc (NPI 1982161113, Gardena, CA); Adfinitas Health At Fauquier, LLC (NPI 1225558109, Warrenton, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** September 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235594185) · Data from the CMS NPPES public registry.