Individual provider Active NPI

Wonsuk Warren Suh, M.D., M.P.H.

  • Radiation Oncology Physician
  • Santa Barbara, CA
National Provider Identifier
1023068541
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C53785 Issued in CA
Practice address
300 W Pueblo St
Santa Barbara, CA 93105-4311
Phone
(805) 682-7300
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X C53785 CA Primary

Addresses

Primary practice location

300 W Pueblo St
Santa Barbara, CA 93105-4311

Mailing address

Sansum Clinic
P.O. Box 62106
Santa Barbara, CA 93106-2106
Phone (805) 682-7300

Other identifiers 1

IdentifierTypeStateIssuer
CI006YOtherCAMEDICARE PTAN

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
I20091022000197 CA Practitioner - Radiation OncologyPractitioner - Internal Medicine 3072588763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

300 W Pueblo St
Santa Barbara, CA 93105-4311
Phone (805) 681-1761

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Sep 10, 2012 Accepting new patients
Sansum Clinic CurrentSince Sep 10, 2012 Accepting new patients
Sansum Clinic Current Accepting new patients
Cancer Center of Santa Barbara Past Accepting new patients
Sansum Clinic Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

300 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5870

540 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5800

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

Interoperability endpoints

  • Direct secure messaging: wsuh760860@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1023068541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANSUM CLINIC",
            "address_2": "P.O. BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931062106",
            "telephone_number": "805-682-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054311",
            "telephone_number": "805-682-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "WONSUK",
        "middle_name": "WARREN",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C53785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CI006Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.