Doctor Suka Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DOCTOR SUKA PEDIATRICS, P.C.

Practice address

17738 Francesca Rd Ste 308
Victorville, CA 92395-5105

Phone

(224) 622-5724

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Orawan SukavachanaNPI 1841332442

Title

MD

Phone

(224) 622-5724

Specialties & licenses 1

Addresses

Other names 1

• Doctor Suka Pediatrics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orawan Sukavachana, M.D.

  • Pediatrics Physician
  • Apple Valley, CA
  • NPI 1841332442
  NPD Authorized official

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1093492225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17738 FRANCESCA RD STE 308",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955105",
            "telephone_number": "224-622-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17738 FRANCESCA RD STE 308",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955105",
            "telephone_number": "224-622-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR SUKA PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SUKAVACHANA",
        "authorized_official_first_name": "ORAWAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "224-622-5724"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor Suka Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kisha Dixon
• Letisha Dixon, LPT
• Armilyn Dizon, PHARM D
• Cathy Doan
• Pauline Dung Doan
• Ann Teresa Dodier, BA
• Daniella Dolloso
• Kristine Albanio Domingo, NP
• Jasmine N Dominguez
• Francisco Angel Donan, RADTI

• Pediatrics Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.