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Active NPI 1265791891 Individual Practitioner Female Practitioner

Sun Captain , PA-C

Physician Assistant - Medical • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Sun Captain, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Berkeley, CA. Practice services are available at 3031 TELEGRAPH AVE STE 217 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3031 Telegraph Ave Ste 217

Berkeley, CA 947052053

Telephone 5109818222
Fax 5109818228

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Berkeley, CA (3472 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License CA PA17206

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa License
PA 17206 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1265584924

Doctor of Medicine (M.D.)

Dr. Touraj Kormi , MD

Plastic Surgery

NPI 1629281233

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2012

Registered at 3031 TELEGRAPH AVE STE 217, BERKELEY, CA 947052053 (Tel: 5109818222)

📍
Updated Business Mailing Address May 16, 2012

Registered at 601 VAN NESS AVE APT 52, SAN FRANCISCO, CA 941023263 (Tel: 4157948441)

👤
Provider Name / Credentials Updated May 16, 2012

Recorded as SUN CAPTAIN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Physician Assistant (License #PA17206 in CA)

🟢
Initial NPI Registration & Enumeration May 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265791891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2012
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

601 Van Ness Ave Apt 52

San Francisco, CA 941023263

Phone: 4157948441

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.