NPIMap

Individual provider Active NPI

Seung Sue Cua, MD

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1063513661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A036509 Issued in CA
Practice address
1433 W Merced Ave
Ste 114-8
West Covina, CA 91790
Phone
(626) 960-4939
Fax
(626) 960-5520
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A036509 CA Primary

Addresses

Primary practice location

1433 W Merced Ave
Ste 114-8
West Covina, CA 91790

Mailing address

1433 W Merced Ave
Ste 114-8
West Covina, CA 91790
Phone (626) 960-4939

Other identifiers 1

IdentifierTypeStateIssuer
GR0013850OtherCAGROUP MEDI CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001569 CA Practitioner - Internal Medicine 3072596584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cua and Gan Medical CorporationGroup PAC ID 2062568249, 4 clinicians
Cua, Gan and Bien Medical CorporationGroup PAC ID 6608395611, 3 clinicians

Practice addresses (Care Compare)

1433 W Merced Ave
West Covina, CA 91790-3402
Phone (626) 960-4989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A036509CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cua, Gan and Bien Medical Corporation Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Cua & Gan Medical Group Current Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

1433 W Merced Ave
Ste 114
West Covina, CA 91790
Phone (626) 960-4989

1433 W Merced Ave
Ste 1148
West Covina, CA 91790
Phone (626) 379-3091

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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

Hospital & facility affiliations 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063513661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "STE 114-8",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-4939",
            "fax_number": "626-960-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "STE 114-8",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-4939",
            "fax_number": "626-960-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUA",
        "first_name": "SEUNG SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A036509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDI CAL",
            "identifier": "GR0013850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.