Individual provider Active NPI

Yuhao Su, D.C.

  • Chiropractor
  • Alhambra, CA
National Provider Identifier
1033550553
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32674 Issued in CA
Practice address
1300 E Main St Ste 209F
Alhambra, CA 91801-4150
Phone
(909) 455-7272
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15603 CA
Chiropractor 111N00000X 32674 CA Primary

Addresses

Primary practice location

1300 E Main St Ste 209F
Alhambra, CA 91801-4150

Mailing address

1300 E Main St Ste 209F
Alhambra, CA 91801-4150
Phone (909) 455-7272

Other practice location 1

529 E Valley Blvd
Suite 288 a
San Gabriel, CA 91776-3668
Phone (626) 572-9202

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

State licenses

LicenseStateTypeSpecialty
32674CAMDGeneral Practice Dentistry
15603CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1033550553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST STE 209F",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014150",
            "telephone_number": "909-455-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST STE 209F",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014150",
            "telephone_number": "909-455-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 E Valley Blvd",
            "address_2": "SUITE 288 A",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917763668",
            "country_code": "US",
            "telephone_number": "626-572-9202",
            "fax_number": "626-572-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "YUHAO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15603",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.