Individual provider Active NPI

George U Suyat, MD, MPH

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1023047669
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52106 Issued in CA
Practice address
2105 Beverly Blvd
Suite 131
Los Angeles, CA 90057-2216
Phone
(213) 413-8836
Fax
(213) 413-2616
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52106 CA Primary

Addresses

Primary practice location

2105 Beverly Blvd
Suite 131
Los Angeles, CA 90057-2216

Mailing address

2105 Beverly Blvd
Suite 131
Los Angeles, CA 90057-2216
Phone (213) 413-8836

Other identifiers 2

IdentifierTypeStateIssuer
00A521060MedicaidCA
A52106OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000444 CA Practitioner - Internal Medicine 9739204272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2105 Beverly Blvd
Suite 131
Los Angeles, CA 90057-2263
Phone (213) 413-8836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52106CAMDGeneral Practice Dentistry
A52106CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George U Suyat MD MPH, Inc. CurrentSince Jul 28, 2010 Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

2105 Beverly Blvd
Ste 131
Los Angeles, CA 90057
Phone (213) 413-8836

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1023047669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE 131",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-8836",
            "fax_number": "213-413-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE 131",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-8836",
            "fax_number": "213-413-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUYAT",
        "first_name": "GEORGE",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A521060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A52106",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.