Individual provider Active NPI

David Juhyuk Suk, MD

  • Interventional Cardiology Physician
  • Anaheim, CA
National Provider Identifier
1083841720
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A125358 Issued in CA
Practice address
710 N Euclid St Ste 214
Anaheim, CA 92801
Phone
(877) 430-7337
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A125358 CA
Interventional Cardiology Physician 207RI0011X A125358 CA Primary

Addresses

Primary practice location

710 N Euclid St Ste 214
Anaheim, CA 92801

Mailing address

3080 Bristol St
Ste 150
Costa Mesa, CA 92626-3068
Phone (714) 445-0220

Other practice location 1

333 City Blvd W
Suite 400
Orange, CA 92868-2903
Phone (714) 456-3868

Other practice location 2

3070 Bristol St Ste 190
Costa Mesa, CA 92626-7301
Phone (877) 430-7337

Other practice location 3

26800 Crown Valley Pkwy Ste 250
Mission Viejo, CA 92691-8038
Phone (949) 364-3570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsuk888849@oc.providencedirect.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170908001155 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4284897257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

200 W Ctr St Promenade
Anaheim, CA 92805-3960

26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125358CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 8, 2020 Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Providence Medical Foundation CurrentSince Jun 8, 2020 Accepting new patients
University of California Irvine Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

710 N Euclid St
Ste 214
Anaheim, CA 92801
Phone (714) 522-2891

710 N Euclid St
Anaheim, CA 92801
Phone (714) 517-2000

3080 Bristol St
Ste 150
Costa Mesa, CA 92626
Phone (714) 389-1846

3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262

3070 Bristol St
Ste 190
Costa Mesa, CA 92626
Phone (714) 445-0228

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337

26800 Crown Valley Pkwy
Ste 120
Mission Viejo, CA 92691
Phone (949) 364-3388

26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691

26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671

26800 Crown Valley Pkwy
Ste 250
Mission Viejo, CA 92691
Phone (949) 364-3570

681 S Parker St
Ste 100
Orange, CA 92868
Phone 7144450228 ext. 8262

1041 E Yorba Linda Blvd
Ste 101
Placentia, CA 92870
Phone (714) 445-0228

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dsuk888849@oc.providencedirect.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1083841720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST",
            "address_2": "STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263068",
            "telephone_number": "714-445-0220",
            "fax_number": "714-445-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 214",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "877-430-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 City Blvd W",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682903",
            "country_code": "US",
            "telephone_number": "714-456-3868",
            "fax_number": "714-456-8895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3070 Bristol St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267301",
            "country_code": "US",
            "telephone_number": "877-430-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 Crown Valley Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918038",
            "country_code": "US",
            "telephone_number": "949-364-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUK",
        "first_name": "DAVID",
        "middle_name": "JUHYUK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A125358",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A125358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsuk888849@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "26800 Crown Valley Pkwy Ste 250",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926918038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.