Active NPI
Jin Wen Sui, MD
- Trauma Surgery Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- A165749
- Practice address
- 999 N Tustin Ave Ste 109
Santa Ana, CA 92705-6501 - Phone
- (714) 954-1182
- Fax
- (714) 953-3425
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | A165749 | CA | Primary |
Addresses
Primary practice location
999 N Tustin Ave Ste 109
Santa Ana, CA 92705-6501
Mailing address
PO Box 3428
Tustin, CA 92781-3428
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Medical School at San Antonio, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
999 N Tustin Ave
Suite 109
Santa Ana, CA 92705-6501
Phone (714) 954-1182
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Coronary artery bypass graft (CABG) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165749 | CA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Emergency Surgical Specialists, Inc | Single Specialty | Current | Accepting new patients |
| Western Medical Center Trauma Group Inc | Single Specialty | Current | Accepting new patients |
Locations
999 N Tustin Ave
Ste 109
Santa Ana, CA 92705
Phone (714) 664-0045
Interoperability endpoints
- jsui419567@direct.cshs.org
Organizations & group practices 2
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.
-
- Personal Emergency Response Attendant
- Santa Ana, CA
- NPI 1134349533
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Orange County Global Medical Center
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1114411352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3428",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927813428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE STE 109",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056501",
"telephone_number": "714-954-1182",
"fax_number": "714-953-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUI",
"first_name": "JIN",
"middle_name": "WEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "A165749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.