Su Salud Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SU SALUD MEDICAL GROUP INC

Practice address

7418 State St
Huntington Park, CA 90255-5928

Phone

(323) 835-6298

Fax

(323) 835-6081

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Abdel N Abdelsayed, MD

Title

Medical Director

Phone

(323) 918-2700

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Adel Naguib Abdelsayed, M.D.

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1922164961
  Medicare reassignment NPD
• Lauro Ivan Arteaga, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Huntington Park, CA
  • NPI 1083625081
  Medicare reassignment NPD
• Julio Cesar Brizuela Romero, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Huntington Park, CA
  • NPI 1346002664
  Medicare reassignment NPD

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1104476217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555928",
            "telephone_number": "323-835-6298",
            "fax_number": "323-835-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555928",
            "telephone_number": "323-835-6298",
            "fax_number": "323-835-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU SALUD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "ABDELSAYED",
        "authorized_official_first_name": "ABDEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-918-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922164961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcadia Christina Stephens
• Steven Yun DDS Dental Corporation
• Anthony Stidhum
• Cammeron Stinson
• Jamal Stokley
• Sandra Su, DDS
• Daniel Suarez, MD
• Ivan Jon Suarez, DPM
• Pauline Sullivan, REGISTERED NURSE
• Diamond Monet' Summers

• General Practice Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.