Individual provider Active NPI

Shunmugaraja Subbiah, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1184688715
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A72997 Issued in CA
Practice address
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone
(714) 418-6522
Fax
(714) 845-0746
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A72997 CA Primary

Addresses

Primary practice location

17100 Euclid St
Fountain Valley, CA 92708-4004

Mailing address

24 Bamboo
Irvine, CA 92620-3336
Phone (714) 418-6522

Other identifiers 1

IdentifierTypeStateIssuer
00A729970MedicaidCA

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
I20050502001072 CA Practitioner - Anesthesiology 7911946769 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Anesthesia Solutions IncGroup PAC ID 0042607426, 46 clinicians
Corona Anesthesia Group IncGroup PAC ID 7416212576, 27 clinicians

Practice addresses (Care Compare)

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5910

1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805
Phone (714) 408-9481

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72997CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Anesthesia Group, Inc. Anesthesiology CurrentSince May 23, 2018 Accepting new patients
Socal Anesthesia Solutions, Inc Anesthesiology CurrentSince Nov 18, 2024 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Feb 28, 2025 Accepting new patients
Talbert Anesthesia Group Incorporated Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Coastal 7 Anesthesiology Professional Corporation Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Uscan Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

18111 Brookhurst St
Ste 3200
Fountain Vly, CA 92708
Phone (714) 369-1100

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100

11190 Warner Ave
Ste 212
Fountain Vly, CA 92708
Phone (714) 338-1650

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700

10 Post
Irvine, CA 92618
Phone (949) 266-0997

10904 Reagan St
Los Alamitos, CA 90720
Phone (562) 592-3140

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

14571 Magnolia St
Ste 107
Westminster, CA 92683
Phone (714) 533-2020

Organizations & group practices 7

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 1

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451088000000",
    "number": "1184688715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BAMBOO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203336",
            "telephone_number": "714-418-6522",
            "fax_number": "714-845-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-418-6522",
            "fax_number": "714-845-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBIAH",
        "first_name": "SHUNMUGARAJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A72997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A729970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.