Active NPI
Zoraida I Suarez, M.D.
- Internal Medicine Physician
- Encino, CA
National Provider Identifier
1003902511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A42275
- Practice address
- 5363 Balboa Blvd
Ste 433
Encino, CA 91316 - Phone
- (818) 788-8838
- Fax
- (818) 788-0851
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A42275 | CA | Primary |
| Neurological Surgery Physician | 207T00000X | A42275 | CA |
Addresses
Primary practice location
5363 Balboa Blvd
Ste 433
Encino, CA 91316
Mailing address
5363 Balboa Blvd
Ste 433
Encino, CA 91316
Phone (818) 788-8838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200504600 | Other | CA | DPT OF LABOR |
| 00A422750 | Medicaid | CA | |
| ZZZ52748Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42275 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1003902511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "STE 433",
"city": "ENCINO",
"state": "CA",
"postal_code": "91316",
"telephone_number": "818-788-8838",
"fax_number": "818-788-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "STE 433",
"city": "ENCINO",
"state": "CA",
"postal_code": "91316",
"telephone_number": "818-788-8838",
"fax_number": "818-788-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "ZORAIDA",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A42275",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A42275",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPT OF LABOR",
"identifier": "200504600",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A422750",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ52748Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.