Susan Suen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95007699 Issued in CA

Practice address

416 W Foothill Blvd
Rialto, CA 92376-4953

Phone

(909) 421-0493

NPI assigned

Jan 14, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDIHCA/Endpoint/EDIHCA
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior'S Choice Medical Group, Inc.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1023506672
  Medicare reassignment NPD
• Guillermo J Gomez MD Inc

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1346474723
  NPD
• Mommy and Me Medical Group, Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1730258765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1013425818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764953",
            "telephone_number": "909-421-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764953",
            "telephone_number": "909-421-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEN",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ruth Stewart, C.P.N.P.
• Michelle Stokes
• Ava Aliz Marie Story
• Jade Story
• Sudhakar R. Chokka, DDS, Inc.
• Rosemarie Sumadsad
• Sun C Soung,M.D.,Inc
• Melissa Michelle Sundahl
• Sunshine Board & Care LLC
• Sunshine Board and Care LLC

• Family Nurse Practitioner in Rialto, CA
• Providers in Rialto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.