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SUNNYLANE MEDICAL CLINIC
NPI 1790371888
Clinic/Center in Oklahoma City, OK

Active since December 14, 2020CLIA 37D2216432 · Waiver
3916 S SUNNYLANE RD, OKLAHOMA CITY, OK 73115(405) 677-3378(405) 930-3941 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2022, Oct 27, 2022, Oct 13, 2022 and 1 more (4 updates tracked since 2020).

About Sunnylane Medical Clinic NPPES

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

SUNNYLANE MEDICAL CLINIC (NPI 1790371888) is a healthcare organization registered as a clinic/center in Oklahoma City, Oklahoma and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Nohemy Garcia, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1790371888
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSUNNYLANE MEDICAL CLINIC
Location Address3916 S SUNNYLANE RDOklahoma City, OK 73115-3656
Mailing Address3916 S Sunnylane RdOklahoma City, OK 73115-3656
Phone(405) 677-3378
Fax(405) 930-3941
Organization SubpartNo
Authorized OfficialNohemy GarciaCredentialing Administrator · (405) 682-8383
Enumeration DateDecember 14, 2020
Last NPPES UpdateNovember 4, 20224 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1790371888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
3916 S SUNNYLANE RD, Oklahoma City, OK 73115
Open in Google Maps ↗

Other Names 1

Doing Business AsSunnylane Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2216432

Sunnylane Medical Clinic, LLC · Del City, OK
Active · expires Mar 11, 2027
CLIA Number37D2216432
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorSteven Bander
Laboratory Phone(405) 677-3378
Laboratory LocationSunnylane Medical Clinic, LLC3916 S Sunnylane Rd, Del City, OK 73115
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SUNNYLANE MEDICAL CLINIC LLC
Family Medicine
3916 S SUNNYLANE RD
DEL CITY, OK 73115
Oklahoma County (405) 455-5330
SUNNYLANE FAMILY MEDICAL CLINIC INC.
Family Medicine
3916 S SUNNYLANE RD, 3916 SUNNYLANE RD.
DEL CITY, OK 73115
Oklahoma County (405) 677-3378
KAYLA SKINNER APRN
Nurse Practitioner (Family)
3916 S SUNNYLANE RD
DEL CITY, OK 73115
Oklahoma County (405) 266-0761
MEAGAN MAHTUSHQUAH APRN
Nurse Practitioner
3916 S SUNNYLANE RD
OKLAHOMA CITY, OK 73115
Oklahoma County (405) 812-2515
DR. SHANNON MICHAEL DNP, APRN, FNP-C
Nurse Practitioner (Family)
3916 S SUNNYLANE RD
OKLAHOMA CITY, OK 73115
Oklahoma County (405) 677-3378

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 Sunnylane Medical Clinic's NPI number?

The NPI number for Sunnylane Medical Clinic is 1790371888. It was assigned to this organization in the NPPES registry on December 14, 2020.

Where is Sunnylane Medical Clinic located?

Sunnylane Medical Clinic is located at 3916 S Sunnylane Rd, Oklahoma City, OK 73115. The listed phone number is (405) 677-3378.

What is Sunnylane Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Sunnylane Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2216432) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunnylane Medical Clinic was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.