Jennifer Sudarsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A070017 Issued in CA

Practice address

11860 Wilshire Boulevard
Suite 200
Los Angeles, CA 90025-6626

Phone

(310) 445-6600

Fax

(310) 445-6601

NPI assigned

Oct 26, 2006

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice, Internal Medicine

Education

Warren Alpert Medical School of Brown University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACFFAA/Endpoint/ACFFAA

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.

• Exer Medical Corporation

  • Urgent Care Clinic/Center
  • Calabasas, CA
  • NPI 1588901532
  Medicare reassignment Care Compare group NPD
• Jennifer Sudarsky MD a Professional Corp

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1700339561
  NPD (past)
• Kevin Simonson MD Inc

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1376272344
  NPD (past)
• Watson Medical Inc

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1831301845
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1023193299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BOULEVARD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256626",
            "telephone_number": "310-445-6600",
            "fax_number": "310-445-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BOULEVARD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256626",
            "telephone_number": "310-445-6600",
            "fax_number": "310-445-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDARSKY",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A070017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Evangelista Sucgang, OTR/L
• Cendy Arely Suchite
• Katharine Taylor Suchniak
• Rebecca Suchov, PSYD
• Arthur A Suciu
• Robert Suddath
• Dixie Lynn Sudhakar, OTA
• Amy Sudhinaraset, M.D.
• Sue Jung Inc
• Sue Jung Inc

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.