Individual
SUN CAPTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3031 TELEGRAPH AVE STE 217, BERKELEY, CA 94705-2053
(510) 981-8222
(510) 981-8228
Mailing address
601 VAN NESS AVE APT 52, SAN FRANCISCO, CA 94102-3263
(415) 794-8441
(510) 981-8228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 17206
PA LICENSE
CA
Enumeration date
05/16/2012
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us