Individual provider Active NPI

Albina Suprun, RCP

  • Registered Respiratory Therapist
  • Reseda, CA
National Provider Identifier
1063717866
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
29164 Issued in CA
Practice address
19124 Hamlin St Unit 5
Reseda, CA 91335-5838
Phone
(323) 630-2102
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 29164 CA Primary

Addresses

Primary practice location

19124 Hamlin St Unit 5
Reseda, CA 91335-5838

Mailing address

19124 Hamlin St Unit 5
Reseda, CA 91335-5838
Phone (323) 630-2102

Other names 1

  • N/a N/a Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29164CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1063717866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19124 HAMLIN ST UNIT 5",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355838",
            "telephone_number": "323-630-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19124 HAMLIN ST UNIT 5",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355838",
            "telephone_number": "323-630-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRUN",
        "first_name": "ALBINA",
        "credential": "RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "29164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "RCP,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.