Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shaun Sanucci, DO

Individual provider Internal Medicine Physician · NPI 1417129453

Shaun Sanucci, DO is an Internal Medicine in San Diego, California. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2007, 19 years ago. Practices with Bgm Medical Services Inc a Medical Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
19
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
CA, NV
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3930 Fourth Ave Ste 200
San Diego, CA 92103-3119
Phone: (619) 297-9610
Fax: (619) 297-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12677 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence SL0528 (NV)

Record details

NPI number1417129453
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 31, 2008
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPREVENTIVE MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Bgm Medical Services Inc A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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