Sunrise Gastro Care PC
NPI 1063042505 · Gastroenterology Physician · Victorville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunrise Gastro Care PC is a Gastroenterology Physician organization in Victorville, CA (NPI 1063042505).
Provider details
- NPI number
- 1063042505
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Lin, Medical Director/ Owner(616) 635-0082
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-23
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Frequently asked questions
- What is Sunrise Gastro Care PC's NPI number?
- Sunrise Gastro Care PC's National Provider Identifier (NPI) is 1063042505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunrise Gastro Care PC?
- Sunrise Gastro Care PC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sunrise Gastro Care PC located?
- Sunrise Gastro Care PC's practice location on file with NPPES is 15366 11th St Ste D, Victorville, CA 92395-3726.
- What is Sunrise Gastro Care PC's phone number?
- The practice phone number listed in the NPPES registry for Sunrise Gastro Care PC is (760) 268-2063.
- Does Sunrise Gastro Care PC accept Medicare?
- Sunrise Gastro Care PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sunrise Gastro Care PC?
- The authorized official listed on Sunrise Gastro Care PC's NPPES record is Henry Lin, Medical Director/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunrise Gastro Care PC's NPI active?
- Yes — Sunrise Gastro Care PC's NPI (1063042505) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.