Individual provider Active NPI

Eunice Suh, NP

  • Family Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1154184307
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026817 Issued in CA
Practice address
14642 Newport Ave Ste 200
Tustin, CA 92780-6058
Phone
(714) 247-0300
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95026817 CA
Family Nurse Practitioner 363LF0000X 95026817 CA Primary
Registered Nurse 163W00000X 95230240 CA

Addresses

Primary practice location

14642 Newport Ave Ste 200
Tustin, CA 92780-6058

Mailing address

14642 Newport Ave Ste 200
Tustin, CA 92780-6058

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107003736 CA Practitioner - Nurse Practitioner 1850881715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Coast Head and Neck SurgeryGroup PAC ID 5597087601, 3 clinicians

Practice addresses (Care Compare)

16100 Sand Canyon Ave
Suite 230
Irvine, CA 92618-3730
Phone (949) 715-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95230240CAMDRegistered Nurse
95026817CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Head and Neck Surgery CurrentSince Aug 3, 2025 Accepting new patients
Orange Coast Head and Neck Surgery Past Accepting new patients
Orange Coast Fyzical Past Accepting new patients

Locations

16100 Sand Canyon Ave
Ste 230
Irvine, CA 92618
Phone (949) 653-7000

3500 Barranca Pkwy
Ste 325
Irvine, CA 92606
Phone (949) 474-5730

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1154184307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806058",
            "telephone_number": "714-247-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "EUNICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026817",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95230240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.