Individual provider Active NPI

Suzanne Clara Larkin, FNP-C

  • Family Nurse Practitioner
  • Costa Mesa, CA
National Provider Identifier
1053358044
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP13961 Issued in CA
Practice address
1665 Scenic Ave
Costa Mesa, CA 92626-1445
Phone
(714) 436-4444
NPI assigned
May 31, 2006
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP13961 CA Primary

Addresses

Primary practice location

1665 Scenic Ave
Costa Mesa, CA 92626-1445

Mailing address

3592 Thor Ave
Los Alamitos, CA 90720-3969
Phone (562) 493-6393

Other practice location 1

2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone (323) 628-8671

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13961CAMDNeurorehabilitation Occupational Therapist
NP13961CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Group Inc Past Accepting new patients
Davita Medical Group Talbert California, P.C. Past Accepting new patients
Talbert Medical Group, P.C. Past Accepting new patients
Talbert Medical Group, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sularkin@landmarkhealth-direct.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1053358044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 THOR AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203969",
            "telephone_number": "562-493-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 SCENIC AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261445",
            "telephone_number": "714-436-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Rosecrans Ave # 3230",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454749",
            "country_code": "US",
            "telephone_number": "323-628-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "SUZANNE",
        "middle_name": "CLARA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP13961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.