Suchetha Adiga, M.D.
Individual provider Active NPI Cytopathology Physician · Rancho Dominguez, CA
NPI 1003816893 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1003816893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cytopathology Physician 207ZC0500X
- License
- MD064674L (PA)
- Practice address
- 2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214 - Phone
- (310) 225-3244
- Fax
- (310) 698-7040
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201002000134 | CA | Practitioner - Pathology | 9537141163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C160356 | CA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Dermatopathology, Inc. | Past | Accepting new patients | |
| Main Line Gastroenterology Associates, PC | Past | Accepting new patients | |
| Institute for Dermatopathology, Inc. | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | C160356 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD064674L | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C160356 | CA | |
| Cytopathology Physician | 207ZC0500X | MD064674L | PA | Yes |
Addresses
Primary practice location
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Mailing address
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244
Other names
- Suchetha Soans
Other providers in Rancho Dominguez, CA
- Affiliated Pathologists Medical Group, Inc.
- Christopher Kanayo Agu
- Christopher David Ake
- Stacy J Arnold
- Nicole Gracella Arredondo
All providers in Rancho Dominguez, CA · Cytopathology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.