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EUNJAE SUNG CRNP
NPI 1235594185
Nurse Practitioner - Primary Care in Gardena, CA

Active since December 18, 2015PECOS EnrolledAccepts Medicare Assignment
1740 W GARDENA BLVD, GARDENA, CA 90247(164) 804-3637 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Aug 13, 2019, Nov 7, 2017 and 2 more (5 updates tracked since 2015).

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

NPI1235594185
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEUNJAE SUNGCredential: CRNP
Location Address1740 W GARDENA BLVDGardena, CA 90247-4764
Mailing Address1740 W Gardena BlvdGardena, CA 90247-4764 · (716) 480-4363
Phone(164) 804-3637
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2015
Enumeration DateDecember 18, 2015
Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1235594185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95010489
Also ListedHospitalistTaxonomy 208M00000X · License 0024174203 (VA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License R218810 (MD)
1740 W GARDENA BLVD, Gardena, CA 90247
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5991084162
PECOS Enrollment IDI20191004000313
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DONGJIN SUNG M.D.
Internal Medicine
1740 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (424) 551-3110
MISSION CLINIC, INC A CALIFORNIA ACUPUNCTURE CORPRATION
Acupuncturist
1740 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (714) 319-6400
ST. LUKE MEDICAL ARTS INC
Internal Medicine
1740 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (424) 551-3110

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.

When was this NPI record last updated?

The NPPES record for Eunjae Sung was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.