DR. EDWARD SUN D.O.
NPI 1487917142
Family Medicine in Victorville, CA
About Dr. Edward Sun D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD SUN D.O. (NPI 1487917142) is an individual family medicine provider in Victorville, California, licensed in California (20A13195) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Edward Sun D.o. 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 Edward Sun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92501
- Reassigned Medicare billing, California enrollment
- 54 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 2,052 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Sun's NPI number?
The NPI number for Edward Sun is 1487917142. It was assigned to this individual provider in the NPPES registry on June 19, 2012.
Where is Edward Sun located?
Edward Sun practices at 14011 Park Ave, Victorville, CA 92392. The listed phone number is (760) 843-2051.
What is Edward Sun's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edward Sun enrolled in Medicare?
Yes. Edward Sun 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 Edward Sun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Sun reassigns Medicare benefits to 2 organizations: Providence Healthcare Partners,, Inc (Riverside, CA) and Healthcare Partners Affiliates Medical Group (Tustin, CA). 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 Edward Sun'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 Edward Sun was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Edward Sun, D.O. · NPI 1487917142
Family Medicine physician in Victorville, California. Individual provider, active in the CMS NPPES registry since June 19, 2012.
## Identity
- **NPI:** 1487917142 (Entity type: Individual)
- **Enumerated:** June 19, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A13195 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14011 PARK AVE, Victorville, CA 92392-2413
- **Phone:** (760) 843-2051
## 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): Providence Healthcare Partners,, Inc (NPI 1699157701, Riverside, CA); Healthcare Partners Affiliates Medical Group (NPI 1891981502, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1487917142) · Data from the CMS NPPES public registry.